CASEY MARIE SULLIVAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1356965701

CASEY MARIE SULLIVAN (CRNA) is a healthcare provider. based in Louisville, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28901 (SC). The NPI Number for CASEY MARIE SULLIVAN (CRNA) is 1356965701

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CASEY MARIE SULLIVAN (CRNA)
NPI
1356965701
Phone
(502) 588-0328
Address
PO BOX 909
Enumeration Date
2 June 2020
Last Update Date
14 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523311590
Graduation Year
2020 (6 years ago)
PAC ID
8527483114
Group Practice PAC ID
7315945979
Professional Enrollment ID
I20250807000106
Address ID
FL326053101GA6925XPLXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,376 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for CASEY MARIE SULLIVAN (CRNA)

  • PO BOX 909

    LOUISVILLE, KY 402010909

    Phone: (502) 588-0328

    Fax: (502) 587-4784

    Type: Mailing

  • 530 S JACKSON ST

    LOUISVILLE, KY 402021675

    Phone: (502) 852-1735

    Fax: (502) 852-6056

    Type: Location

  • PO BOX 603484

    CHARLOTTE, NC 282603484

    Phone: (803) 765-1838

    Fax: (803) 765-1732

    Type: Mailing

  • 2095 HENRY TECKLENBURG DR

    CHARLESTON, SC 294145733

    Phone: (843) 402-1436

    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: 2025-08-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20200729002978ICertified Registered Nurse Anesthetist (Crna)KYTBD
I20220722001172ICertified Registered Nurse Anesthetist (Crna)ORTBD
I20241118004031ICertified Registered Nurse Anesthetist (Crna)SCTBD
I20250408000434ICertified Registered Nurse Anesthetist (Crna)GATBD
I20250807000106ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3939$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1817$0
00812Anesthesia for exam of colon using an endoscope1616$0
00813Anesthesia for procedure on small and large bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 40201)

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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: 7315945979View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

Is there an official ID for CASEY MARIE SULLIVAN (CRNA) in U.S. healthcare records?
The official identifier for CASEY MARIE SULLIVAN (CRNA) is NPI 1356965701.
Is CASEY MARIE SULLIVAN (CRNA) shown as active in public data?
Registry records indicate CASEY MARIE SULLIVAN (CRNA) maintains an active NPI.
What kind of doctor is CASEY MARIE SULLIVAN (CRNA)?
CASEY MARIE SULLIVAN (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is CASEY MARIE SULLIVAN (CRNA) located near Louisville?
CASEY MARIE SULLIVAN (CRNA) currently maps to Louisville, Kentucky in this extract.
When was this NPI issued?
Enumeration for CASEY MARIE SULLIVAN (CRNA) is noted as June 2, 2020 where the registry provides it.

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