MARY JANETTE SULLIVAN CRNP
NPI 1356620009
Nurse Practitioner - Family in Birmingham, AL

NPI Status: Active since August 12, 2011

Contact Information

2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 533-8902
Fax: (855) 737-5542

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  • Individual
  • Female
  • Years of Experience 16
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARY SULLIVAN

This page provides the complete NPI Profile along with additional information for Mary Sullivan, a provider established in Birmingham, Alabama with a medical specialization in Nurse Practitioner, focusing in family and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1356620009 assigned on August 2011. The practitioner's primary taxonomy code is 363LF0000X with license number 1-077197 (AL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1356620009
Provider Name
MARY JANETTE SULLIVAN CRNP
Other Name
MARY JANETTE WILMOTH
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
2100 SOUTHBRIDGE PKWY STE 650 BIRMINGHAM, AL 35209
Location Phone
(205) 533-8902
Location Fax
(855) 737-5542
Mailing Address
333 COMMERCE ST STE 700 NASHVILLE, TN 37201
Mailing Phone
(615) 454-9850
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
08-12-2011
Last Update Date
04-08-2019
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A nurse practitioner (NP) like Mary Sullivan is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1-077197
License State
AL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mary Sullivan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mary Sullivan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7618294299

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150318002414

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.47 for a new patient copayment and $23.43 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35209 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.9
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $20.47
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.72
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $23.43
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MARY JANETTE SULLIVAN CRNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356620009
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106122000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 2 + 2 + 0 + 0 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1356620009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508391632WITHOUT WALLS COUNSELING, PC
Organization
Counselor (Professional)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 414-7426
1417465071THERMAL MEDICAL SOLUTIONS, LLC
Organization
Durable Medical Equipment & Medical Supplies2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 414-7404
1720096183 CAROL JAMES CRNP
Individual
Nurse Practitioner (Family)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 533-8902
1205375730 TRACI HIGGINBOTHAM CRNP
Individual
Nurse Practitioner (Gerontology)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 533-8902
1114404845HAL MEDICAL O&P
Organization
Durable Medical Equipment & Medical Supplies2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(256) 230-2321
1114267218 HEATHER BRYAN DAVIS CRNP
Individual
Nurse Practitioner2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 533-8902
1730644204L.O.L. COUNSELING AND CONSULTING SERVICES
Organization
Social Worker (Clinical)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 587-6818
1093354441 TAMIKA LASHONE CARTER-ALEXANDER
Individual
Social Worker2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 382-1627
1831710508INSPIRE COUNSELING AND CONSULTING LLC
Organization
Social Worker (Clinical)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 335-5252
1275084196 LASHEENA DAVIS MS, NCC, LPC
Individual
Counselor (Mental Health)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 206-6977
1891461281 AMMY SWABY LMSW
Individual
Social Worker (Clinical)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 775-6037
1043964950 SUNKEISSA CANTRELL LPC
Individual
Counselor (Professional)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 961-4328
1578218392 ROBERT MARTIN ALC, NCC
Individual
Counselor (Mental Health)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 775-6037
1023748993INITIATIVE COUNSELING, LLC
Organization
Counselor (Professional)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(202) 054-7631
1801319892MRS. THANDI KENYETTA WELLS ED.S, LPC
Individual
Counselor (Professional)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 919-3974
1689398109ALABAMA ANESTHESIA PROFESSIONALS LLC
Organization
Anesthesiology2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(888) 589-8550
1457069320CLINICAL COUNSELING & ASSOCIATES
Organization
Counselor (Professional)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(256) 903-8811
1760192280ANTWAN TAVARIOUS DIXON LLC
Organization
Counselor (Professional)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(800) 916-3713
1912610031KEY AUTISM SERVICES AL, LLC
Organization
Community/Behavioral Health2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(857) 829-4040
1346839073BROKEN TO ART COUNSELING LLC
Organization
Counselor (Professional)2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209
(205) 206-6977

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356620009, enumerated in the NPI registry as an "individual" on August 12, 2011

The provider is located at 2100 Southbridge Pkwy Ste 650 Birmingham, Al 35209 and the phone number is (205) 533-8902

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 16 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $93.72 and an average copayment of 23.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.