LINDA SULLIVAN (CRNP) – Adult Health Nurse Practitioner, NPI 1639298540

LINDA SULLIVAN (CRNP) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1024547 (AL). The NPI Number for LINDA SULLIVAN (CRNP) is 1639298540

Main info

Female
52 Years Of Experience
Accepts Medicare Assignment
Name
LINDA SULLIVAN (CRNP)
NPI
1639298540
Phone
(251) 460-5280
Address
3632 DAUPHIN ST
Enumeration Date
29 March 2007
Last Update Date
9 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2516021911
Graduation Year
1974 (52 years ago)
PAC ID
8224223565
Group Practice PAC ID
6709858335
Professional Enrollment ID
I20101111000890
Address ID
AL366934362MO3737XBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for LINDA SULLIVAN (CRNP)

  • 3632 DAUPHIN ST

    MOBILE, AL 366081247

    Phone: (251) 460-5280

    Fax: (251) 460-5339

    Type: Mailing

  • 210 GOVERNMENT ST

    MOBILE, AL 366022614

    Phone: (251) 433-8448

    Fax: (251) 460-5431

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101111000890INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12166$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes8945$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7160$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4739$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2820$0
View full utilization report →

Insurance plans in this area (ZIP 36608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709858335View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

How do I look up LINDA SULLIVAN (CRNP) by NPI?
Use NPI 1639298540 when you need to reference LINDA SULLIVAN (CRNP) in forms, claims, or directories.
Does this profile mean LINDA SULLIVAN (CRNP) is currently active?
Yes — LINDA SULLIVAN (CRNP) appears active in the national provider directory.
Does LINDA SULLIVAN (CRNP) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for LINDA SULLIVAN (CRNP). Clinical services aligned with this taxonomy classification.
What location shows for LINDA SULLIVAN (CRNP)?
We surface Mobile, Alabama for LINDA SULLIVAN (CRNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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