SANDRA JEAN SULLIVAN (PA) – Medical Physician Assistant, NPI 1003967407
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for SANDRA JEAN SULLIVAN (PA)
PO BOX 334
NEWRY, ME 042610334
Phone: (978) 204-4533
Type: Mailing
1976 WHITE MOUNTAIN HWY STE 105
NORTH CONWAY, NH 038605147
Phone: (603) 356-4940
Fax: (603) 371-3250
Type: Mailing
67 S BEDFORD ST STE 202E
BURLINGTON, MA 018035141
Phone: (781) 744-7000
Type: Location
Burlington, 572, Great Mall Drive, Great Mall, Milpitas, Santa Clara County, California, 95035-8004, United States
BURLINGTON, MA 018050001
Phone: (781) 744-8000
Type: Mailing
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: 2026-01-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260115001863 | I | Physician Assistant | NH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 556 | 539 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 114 | 113 | $0 |
| 81002 | Urinalysis, manual test | 94 | 93 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 44 | 43 | $0 |
Insurance plans in this area (ZIP 04261)
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