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Deactivated NPI 1578521159 Deactivated / Inactive NPI Female Practitioner

Jean Sullivan , NP

Nurse Practitioner • Salem, 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, Jean Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 03, 2006
NPI Deactivation Date September 30, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Jean Sullivan, NP was a registered Nurse Practitioner practicing in Salem, MA. Throughout an active medical career spanning 16 years, Jean Sullivan provided care at the practice location at 400 HIGHLAND AVE until profile deactivation on 2022-09-30.

Historical Medicare Part B clinical services included established patient outpatient office visit, telephone medical discussion with physician, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

400 Highland Ave
Suite 1

Salem, MA 01970

Telephone 9787419500
Fax 9787413927
Associated Practice Facility / Clinic
🏢 Urology Consultants Of Ns Facility NPI 1194784983

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Salem, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
31 Specialists

Practicing in Salem, MA (3545 Statewide)

Telehealth Adoption Rate
29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
237 188 $447.82 $97.06
99443 Telephone medical discussion with physician, 21-30 minutes
105 80 $447.37 $97.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
73 73 $481.56 $103.37
99442 Telephone medical discussion with physician, 11-20 minutes
67 60 $305.60 $67.05
36415 Insertion of needle into vein for collection of blood sample
57 56 $24.00 $3.00
G0008 Administration of influenza virus vaccine
40 40 $108.00 $18.98
90662 Influenza vaccine split virus, preservative free
35 35 $90.14 $60.46
93000 Routine ekg using at least 12 leads including interpretation and report
22 22 $87.00 $15.38
99213 Established patient office or other outpatient visit, typically 15 minutes
21 19 $307.86 $67.37

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 86116

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Meaghan Kearns , MD

Internal Medicine

NPI 1265752539

Doctor of Medicine (M.D.)

Dr. Marina Joseph , MD

Internal Medicine

NPI 1275729428

Doctor of Medicine (M.D.)

Dr. Yuriy Levin , MD

Internal Medicine

NPI 1295781003

Doctor of Medicine (M.D.)

Dr. Gary Cohen , MD

Internal Medicine

NPI 1598711251

Doctor of Medicine (M.D.)

Dr. Maury Mcgough , MD

Internal Medicine

NPI 1649226457

Doctor of Medicine (M.D.)

Dr. Faris Ghannam , MD

Internal Medicine

NPI 1669049904

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 September 30, 2022

Record deactivated on September 30, 2022

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 400 HIGHLAND AVE, SUITE 1, SALEM, MA 01970 (Tel: 9787419500)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 930, SALEM, MA 01970 (Tel: 9788256581)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEAN SULLIVAN, NP

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

Nurse Practitioner (License #86116 in MA)

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Initial NPI Registration & Enumeration May 03, 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: 1578521159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: July 08, 2007
Deactivation Date: September 30, 2022

Mailing Address

Po Box 930

Salem, MA 01970

Phone: 9788256581

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.