MRS. MALIA M SULLIVAN (APRN) – Family Nurse Practitioner, NPI 1134948599

MRS. MALIA M SULLIVAN (APRN) is a healthcare provider. based in Mcpherson, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 53-83673-101 (KS). The NPI Number for MRS. MALIA M SULLIVAN (APRN) is 1134948599

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MALIA M SULLIVAN (APRN)
NPI
1134948599
Phone
(620) 241-2250
Address
PO BOX 1227
Enumeration Date
3 October 2024
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202417400
Graduation Year
2024 (2 years ago)
PAC ID
3971035734
Group Practice PAC ID
1153232418
Professional Enrollment ID
I20241017002211
Address ID
KS674602326MC1000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MRS. MALIA M SULLIVAN (APRN)

  • PO BOX 1227

    MCPHERSON, KS 674601227

    Phone: (620) 241-2250

    Fax: (620) 798-2630

    Type: Mailing

  • 1000 HOSPITAL DR

    MCPHERSON, KS 674602326

    Phone: (620) 641-2251

    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: 2024-10-17

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
I20241017002211INurse PractitionerKSTBD

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 67460)

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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: 1153232418View full group profile
NameSpecialtyState
Diagnostic RadiologyKS
Certified Registered Nurse Anesthetist (Crna)KS
Diagnostic Radiology, Interventional RadiologyKS
Diagnostic RadiologyKS
Internal Medicine, Pediatric MedicineKS
Nurse PractitionerKS
Diagnostic RadiologyKS
Nurse PractitionerKS
Diagnostic RadiologyKS
Diagnostic RadiologyKS

Reviews

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Frequently asked questions

What NPI should I save for MRS. MALIA M SULLIVAN (APRN)?
Save NPI 1134948599 if you need a stable reference for MRS. MALIA M SULLIVAN (APRN).
Is MRS. MALIA M SULLIVAN (APRN)'s NPI currently valid?
The extract we use shows MRS. MALIA M SULLIVAN (APRN) as active.
Does MRS. MALIA M SULLIVAN (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. MALIA M SULLIVAN (APRN). Clinical services aligned with this taxonomy classification.
Does MRS. MALIA M SULLIVAN (APRN) practice in Kansas?
You will see Mcpherson, Kansas on file for MRS. MALIA M SULLIVAN (APRN) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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