MRS. KAITLIN SULLIVAN PA-C
NPI 1710238001
Physician Assistant - Medical in Louisville, KY

NPI Status: Active since September 26, 2012

Contact Information

3900 KRESGE WAY
SUITE 30
LOUISVILLE, KY
ZIP 40207
Phone: (502) 891-8700
Fax: (502) 891-8752

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  • Individual
  • Female
  • Years of Experience 14
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KAITLIN SULLIVAN

This page provides the complete NPI Profile along with additional information for Kaitlin Sullivan, a primary care provider established in Louisville, Kentucky with a medical specialization in Physician Assistant, focusing in medical and more than 14 years of experience. She graduated from University Of Kentucky College Of Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1710238001 assigned on September 2012. The practitioner's primary taxonomy code is 363AM0700X with license number TC147 (KY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1710238001
Provider Name
MRS. KAITLIN SULLIVAN PA-C
Gender
Female
Entity Type
Individual
Location Address
3900 KRESGE WAY SUITE 30 LOUISVILLE, KY 40207
Location Phone
(502) 891-8700
Location Fax
(502) 891-8752
Mailing Address
3900 KRESGE WAY SUITE 30 LOUISVILLE, KY 40207
Mailing Phone
(502) 891-8700
Mailing Fax
(502) 891-8752
Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
09-26-2012
Last Update Date
09-26-2012
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A primary care provider (PCP) like Kaitlin Sullivan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
TC147
License State
KY

Medicare Participation & PECOS Enrollment Status

Kaitlin 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.

Kaitlin 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: 3577717719

    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: I20130215000483

    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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 14 times for 14 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 22 times for 18 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 15 times for 15 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 15 times for 15 patients

Reviews for MRS. KAITLIN SULLIVAN PA-C

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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.
1710238001
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720431600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 3 + 1 + 6 + 0 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1710238001 is valid because the calculated check digit 1 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
1215921648 MARIANNE HUTTI A.R.N.P.
Individual
Nurse Practitioner (Obstetrics & Gynecology)3900 KRESGE WAY SUITE 31
LOUISVILLE, KY 40207
(502) 895-2489
1811980246 HOLLY W BROWN M.D.
Individual
Obstetrics & Gynecology3900 KRESGE WAY #30
LOUISVILLE, KY 40207
(502) 891-8700
1538133863 JOHN MICHAEL GORMLEY M.D.
Individual
Physical Medicine & Rehabilitation3900 KRESGE WAY SUITE 51-A
LOUISVILLE, KY 40207
(502) 891-8981
1760451314DR. EMMETT J. BROADDUS M.D.
Individual
Hospitalist3900 KRESGE WAY SUITE 45
LOUISVILLE, KY 40207
(502) 894-4418
1669589172NEUROSCIENCE ASSOCIATES PSC
Organization
Psychiatry & Neurology (Neurology)3900 KRESGE WAY SUITE 56
LOUISVILLE, KY 40207
(502) 895-7265
1366559015 BART M OLASH M.D.
Individual
Internal Medicine3900 KRESGE WAY STE. 50
LOUISVILLE, KY 40207
(502) 897-1776
1053428714 FELIX ALBERT OLASH JR. M.D.
Individual
Internal Medicine3900 KRESGE WAY STE. 50
LOUISVILLE, KY 40207
(502) 897-1776
1225145931OLASH MEDICAL ASSOCIATES, PSC
Organization
Internal Medicine3900 KRESGE WAY STE. 50
LOUISVILLE, KY 40207
(502) 897-1776
1871688408 REBECCA ANN TERRY MD
Individual
Obstetrics & Gynecology (Gynecology)3900 KRESGE WAY
LOUISVILLE, KY 40207
(502) 891-8700
1679669451DR. MOLLIE CARTWRIGHT MD
Individual
Obstetrics & Gynecology3900 KRESGE WAY
LOUISVILLE, KY 40207
(502) 891-8700
1245327097DR. KELLI M MILLER MD
Individual
Obstetrics & Gynecology3900 KRESGE WAY
LOUISVILLE, KY 40207
(502) 891-8700
1508936261LOUISVILLE CARDIOLOGY MEDICAL GROUP, PSC
Organization
Specialist3900 KRESGE WAY SUITE 60
LOUISVILLE, KY 40207
(502) 893-7710
1871640201KENTUCKY CARDIOTHORACIC SURGERY PLLC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)3900 KRESGE WAY SUITE 46
LOUISVILLE, KY 40207
(502) 810-8002
1780716027LOUISVILLE NEUROSCIENCE INSTITUTE PLLC
Organization
Neurological Surgery3900 KRESGE WAY SUITE 51
LOUISVILLE, KY 40207
(502) 891-8981
1063623619KENTUCKY CARDIOTHORACIC SURGERY PLLC
Organization
Physician Assistant3900 KRESGE WAY
LOUISVILLE, KY 40207
(502) 810-8002
1265635601MRS. DONNA SUE HUBER LCSW
Individual
Social Worker (Clinical)3900 KRESGE WAY SUITE 30
LOUISVILLE, KY 40207
(502) 550-7718
1386872471BAPTIST MEDICAL ASSOCIATES INC
Organization
Psychiatry & Neurology (Neurology)3900 KRESGE WAY SUITE 56
LOUISVILLE, KY 40207
(502) 895-7265
1700109832MOLLOY G. VEAL MD PSC
Organization
Internal Medicine3900 KRESGE WAY SUITE 50
LOUISVILLE, KY 40207
(502) 930-2874
1811297542BAPTIST MEDICAL ASSOCIATES, INC
Organization
Internal Medicine (Cardiovascular Disease)3900 KRESGE WAY SUITE 60
LOUISVILLE, KY 40207
(502) 893-7710
1023307592UNIVERSITY OF LOUISVILLE REHABILITATION FACULTY GROUP, PLLC
Organization
Physical Medicine & Rehabilitation3900 KRESGE WAY STE #41
LOUISVILLE, KY 40207
(502) 899-3623

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710238001, enumerated in the NPI registry as an "individual" on September 26, 2012

The provider is located at 3900 Kresge Way Suite 30 Louisville, Ky 40207 and the phone number is (502) 891-8700

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 14 years of experience. She graduated from University Of Kentucky College Of Medicine in 2012.

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.

The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination, Established patient office or other outpatient visit, 20-29 minutes, Screening 3d breast mammography and Screening mammography.

This NPI record was last updated on September 26, 2012. 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].
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