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Deactivated NPI 1447216296 Deactivated / Inactive NPI Female Practitioner

Ann M Sullivan , PA

Physician Assistant • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ann Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2006
NPI Deactivation Date November 22, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Ann Sullivan, PA was a registered Physician Assistant practicing in Boston, MA. Throughout an active medical career spanning 17 years, Ann Sullivan provided care at the practice location at 133 BROOKLINE AVE until profile deactivation on 2023-11-22.

Practice Location & Contact Primary Location

Practice Address

133 Brookline Ave

Boston, MA 022153904

Telephone 6174211000
Fax 6174216084
Associated Practice Facility / Clinic
🏢 Atrius Health, Inc. Facility NPI 1740238526

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
1664 Specialists

Practicing in Boston, MA (4746 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 369

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Melissa Ziogas , APRN-FNP

Nurse Practitioner - Family

NPI 1003142316

APRNFNP

Shivaun Pike , NP

Nurse Practitioner - Adult Health

NPI 1003548744

Nurse Practitioner

Corinne Mahoney , PA

Physician Assistant

NPI 1003871898

Physician Assistant

Julia Nevarez , FNP

Nurse Practitioner - Family

NPI 1033463039

Family Nurse Practitioner

Dr. Rocio Lopez-Diego , MD, PhD

Psychiatry & Neurology - Neurology

NPI 1043266182

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Mark Yurkofsky , MD

Internal Medicine

NPI 1043268964

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 22, 2023

Record deactivated on November 22, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 133 BROOKLINE AVE, BOSTON, MA 022153904 (Tel: 6174211000)

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Updated Business Mailing Address July 08, 2007

Registered at 147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 021094806 (Tel: 6175598053)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANN SULLIVAN, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #369 in MA)

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Initial NPI Registration & Enumeration April 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447216296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2006
Last Update: July 08, 2007
Deactivation Date: November 22, 2023

Mailing Address

147 Milk St, Provider Enrollment - 9th Floor

Boston, MA 021094806

Phone: 6175598053

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.