MISS JILLIAN ANN SULLIVAN (APRN) – Adult Health Nurse Practitioner, NPI 1639423734
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,219 NURSE PRACTITIONER in CT
Provider Addresses for MISS JILLIAN ANN SULLIVAN (APRN)
236 SHAGBARK DR
BRISTOL, CT 060103220
Phone: (860) 940-8132
Type: Mailing
263 FARMINGTON AVE
INTERNAL MEDICINE
FARMINGTON, CT 060302212
Phone: (860) 679-4477
Fax: (860) 679-4474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $794.
Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($251).
Total Amount
$794
General + Research + Ownership
Payments
42
Total payment records
General Amount
$794
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $251 |
| Daiichi Sankyo Inc. | $84 |
| Lilly USA, LLC | $60 |
| Novo Nordisk Inc | $59 |
| AstraZeneca Pharmaceuticals LP | $46 |
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: 2013-03-27
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130327000611 | I | Nurse Practitioner | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 54 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 29 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 06010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Diagnostic Radiology | RI | |
| Pulmonary Disease, Critical Care (Intensivists) | CT | |
| Interventional Radiology, Diagnostic Radiology | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| Nurse Practitioner | CT | |
| Diagnostic Radiology | MA | |
| - | CT | |
| Diagnostic Radiology | MA | |
| Internal Medicine | CT |
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