Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679655898 Individual Practitioner Female Practitioner

Christine L Sullivan , NP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Christine Sullivan, NP is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Pediatrics

Worcester, MA 016550002

Telephone 5088564225
Fax 5088564282
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 161915

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0373061 (MA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Christopher Keuker , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1144202565

Doctor of Medicine (M.D.)

Jennifer Costa , NP

Nurse Practitioner

NPI 1225246341

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2011

Registered at 55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 016550002 (Tel: 5088564225)

📍
Updated Business Mailing Address October 18, 2011

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤
Provider Name / Credentials Updated October 18, 2011

Recorded as CHRISTINE SULLIVAN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2011

Nurse Practitioner (License #161915 in MA)

🟢
Initial NPI Registration & Enumeration October 19, 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: 1679655898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: October 18, 2011
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.