AMANDA ROSE SULLIVAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063968709

AMANDA ROSE SULLIVAN (PMHNP-BC) is a healthcare provider. based in Concord, Massachusetts. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP-BC. They hold a License No. RN2262691 (MA). The NPI Number for AMANDA ROSE SULLIVAN (PMHNP-BC) is 1063968709

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA ROSE SULLIVAN (PMHNP-BC)
NPI
1063968709
Phone
(978) 369-1113
Address
86 BAKER AVE EXTENSION
Enumeration Date
1 September 2016
Last Update Date
1 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9788517321
Graduation Year
2014 (12 years ago)
PAC ID
6305134941
Group Practice PAC ID
8820906860
Professional Enrollment ID
I20161013001499
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for AMANDA ROSE SULLIVAN (PMHNP-BC)

  • 86 BAKER AVE EXTENSION

    SUITE 100

    CONCORD, MA 01742

    Phone: (978) 369-1113

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($62).

Total Amount

$62

General + Research + Ownership

Payments

2

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 01742)

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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: 8820906860View full group profile

Reviews

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Frequently asked questions

Does AMANDA ROSE SULLIVAN (PMHNP-BC) have a public NPI I can cite?
Public records show AMANDA ROSE SULLIVAN (PMHNP-BC) under NPI 1063968709.
Should I treat AMANDA ROSE SULLIVAN (PMHNP-BC) as an active provider?
Patients and plans typically see AMANDA ROSE SULLIVAN (PMHNP-BC) as active in the national extract.
What type of care does AMANDA ROSE SULLIVAN (PMHNP-BC) provide?
AMANDA ROSE SULLIVAN (PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to AMANDA ROSE SULLIVAN (PMHNP-BC)?
The directory associates AMANDA ROSE SULLIVAN (PMHNP-BC) with Concord, Massachusetts. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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