ANGELA SULLIVAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083027304

ANGELA SULLIVAN (CRNA) is a healthcare provider. based in Little rock, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. L036409 (AR). The NPI Number for ANGELA SULLIVAN (CRNA) is 1083027304

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA SULLIVAN (CRNA)
NPI
1083027304
Phone
(501) 664-4532
Address
500 S UNIVERSITY AVE STE 505
Enumeration Date
4 June 2014
Last Update Date
25 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5017472828
Graduation Year
2014 (12 years ago)
PAC ID
3375761596
Group Practice PAC ID
1153685474
Professional Enrollment ID
I20140902000695
Address ID
AR722124114LI10915RDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

Provider Addresses for ANGELA SULLIVAN (CRNA)

  • 500 S UNIVERSITY AVE STE 505

    LITTLE ROCK, AR 722055307

    Phone: (501) 664-4532

    Fax: (501) 663-4335

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2014-09-02

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
I20140902000695ICertified Registered Nurse Anesthetist (Crna)ARTBD

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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance210126$0
00812Anesthesia for exam of colon using an endoscope7979$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope7573$0
01937Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance6640$0
00811Anesthesia for other procedure on large bowel using an endoscope5858$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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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: 1153685474View full group profile
NameSpecialtyState
Nurse PractitionerAR
G A S T R O E N T E R O L O G YAR
Certified Registered Nurse Anesthetist (Crna)AR
Internal Medicine, GastroenterologyWI
Gastroenterology, Internal MedicineAR
Internal Medicine, GastroenterologyGA
Certified Registered Nurse Anesthetist (Crna)AR
G A S T R O E N T E R O L O G YAR
Certified Registered Nurse Anesthetist (Crna)AR
G A S T R O E N T E R O L O G YAR

Reviews

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Frequently asked questions

Does ANGELA SULLIVAN (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANGELA SULLIVAN (CRNA) uses 1083027304.
Is ANGELA SULLIVAN (CRNA) listed as active for patients and plans?
The listing shows ANGELA SULLIVAN (CRNA) as active in the NPI system.
What is ANGELA SULLIVAN (CRNA)'s specialty?
The listing groups ANGELA SULLIVAN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is ANGELA SULLIVAN (CRNA) based?
ANGELA SULLIVAN (CRNA) is tied to Little Rock, Arkansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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