JANEL SULLIVAN (MS) – Speech-Language Pathologist, NPI 1679600068

JANEL SULLIVAN (MS) is a healthcare provider. based in Rockford, Illinois. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS. They hold a License No. 146007972 (IL). The NPI Number for JANEL SULLIVAN (MS) is 1679600068

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JANEL SULLIVAN (MS)
NPI
1679600068
Phone
(815) 971-2000
Address
3401 N PERRYVILLE RD
Enumeration Date
27 February 2007
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036943333
Graduation Year
2003 (23 years ago)
PAC ID
3779634985
Group Practice PAC ID
5395024905
Professional Enrollment ID
I20250513001332
Address ID
CO801125066EN175XXWXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

446 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IL

Provider Addresses for JANEL SULLIVAN (MS)

  • 3401 N PERRYVILLE RD

    ROCKFORD, IL 611148011

    Phone: (815) 971-2000

    Type: Mailing

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-1103

    Fax: (970) 490-5156

    Type: Mailing

  • 175 INVERNESS DR W STE 300

    ENGLEWOOD, CO 801125069

    Phone: (303) 694-3333

    Fax: (303) 221-4766

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-13

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
I20250513001332IQualified Speech Language PathologistCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61114)

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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: 5395024905View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Occupational Therapist In Private PracticeCO
Occupational Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What is JANEL SULLIVAN (MS)'s NPI number?
JANEL SULLIVAN (MS)'s NPI is 1679600068 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JANEL SULLIVAN (MS)?
You should see JANEL SULLIVAN (MS) as active in CMS-hosted NPPES data.
How would a patient describe JANEL SULLIVAN (MS)'s focus?
For JANEL SULLIVAN (MS), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is JANEL SULLIVAN (MS) located near Rockford?
JANEL SULLIVAN (MS) currently maps to Rockford, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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