LAURA D SULLIVAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265433122

LAURA D SULLIVAN (CRNA) is a healthcare provider. based in Swansea, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 256715 (MA). The NPI Number for LAURA D SULLIVAN (CRNA) is 1265433122

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
LAURA D SULLIVAN (CRNA)
NPI
1265433122
Phone
(508) 567-1969
Address
53 TALLAWANDA RD
Enumeration Date
2 August 2005
Last Update Date
22 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522752064
Graduation Year
1998 (28 years ago)
PAC ID
2769538602
Group Practice PAC ID
2365835428
Professional Enrollment ID
I20090918000156
Address ID
MA027774114SW440XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

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Provider Addresses for LAURA D SULLIVAN (CRNA)

  • 53, Tallawanda Road, Swansea, Bristol County, Massachusetts, 02777, United States

    STE. 670

    SWANSEA, MA 027771206

    Phone: (508) 567-1969

    Type: Mailing

  • Charlton Memorial Hospital, 363, Highland Avenue, Fall River Station, Fall River, Bristol County, Massachusetts, 02720, United States

    FALL RIVER, MA 027203703

    Phone: (508) 679-3131

    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: 2009-09-18

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
I20090918000156ICertified Registered Nurse Anesthetist (Crna)MATBD

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
00142Anesthesia for lens surgery139133$0
00140Anesthesia for other procedure on eye7062$0
00103Anesthesia for procedure on eyelid4242$0
View full utilization report →

Insurance plans in this area (ZIP 02777)

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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: 2365835428View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)CT

Reviews

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Frequently asked questions

What is the standard ID for LAURA D SULLIVAN (CRNA) in the U.S.?
In the U.S., LAURA D SULLIVAN (CRNA) is identified by NPI 1265433122.
Quick check: is LAURA D SULLIVAN (CRNA) active?
Public NPPES data shows LAURA D SULLIVAN (CRNA) with an active NPI status right now.
How should patients interpret LAURA D SULLIVAN (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for LAURA D SULLIVAN (CRNA). Clinical services aligned with this taxonomy classification.
Is LAURA D SULLIVAN (CRNA) tied to Swansea, Massachusetts?
If you are local to Swansea, Massachusetts, LAURA D SULLIVAN (CRNA) may be relevant to your search.
Who maintains LAURA D SULLIVAN (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.