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Active NPI 1043220049 Individual Practitioner Female Practitioner

Mary F Sullivan , FAMILY NURSE PRACTIT

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Mary Sullivan, FAMILY NURSE PRACTIT is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 116 BELMONT ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

116 Belmont St
Suite 11

Worcester, MA 016052964

Telephone 5083341102
Associated Practice Facility / Clinic
🏢 Mark A. Aversa Md Pc Facility NPI 1427091784

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.8% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
40 30 $199.00 $45.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $296.00 $69.55

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN124312

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MA 124312

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0715930 (MA)
Commercial Insurance / Payer ID Bcbs
NP1913 (MA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Mary Flynn , MD

Family Medicine

NPI 1497982102

Doctor of Medicine (M.D.)

Ellen Ruell , PA-C

Physician Assistant

NPI 1790701977

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2014

Registered at 116 BELMONT ST, SUITE 11, WORCESTER, MA 016052964 (Tel: 5083341102)

📍
Updated Business Mailing Address February 26, 2014

Registered at PO BOX 415348, BOSTON, MA 022415348

👤
Provider Name / Credentials Updated February 26, 2014

Recorded as MARY SULLIVAN, FAMILY NURSE PRACTIT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Nurse Practitioner (License #RN124312 in MA)

🟢
Initial NPI Registration & Enumeration August 09, 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: 1043220049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: February 26, 2014
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

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.