MARYELLEN SULLIVAN (NP) – Adult Health Nurse Practitioner, NPI 1306812086

Adult Health Nurse Practitioner

MARYELLEN SULLIVAN (NP) is a healthcare provider. based in Roslindale, Massachusetts. specializing in Adult Health Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 142612 (MA). The NPI Number for MARYELLEN SULLIVAN (NP) is 1306812086

Main info

Female

28 Years Of Experience

Accepts Medicare Assignment

Name

MARYELLEN SULLIVAN (NP)

NPI

1306812086

Phone

(617) 363-8010

Address

1200 CENTRE ST

Enumeration Date

23 February 2006

Last Update Date

17 September 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6173638010

Graduation Year

1998 (28 years ago)

PAC ID

9133198591

Group Practice PAC ID

6608855119

Professional Enrollment ID

I20041001000414

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARYELLEN SULLIVAN (NP)

Hebrew Rehabilitation Center, 1200, Centre Street, Roslindale, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02131, United States of America
DEPT. OF MEDICINE
ROSLINDALE, MA 021311011
Phone: (617) 363-8010
Fax: (617) 363-8929
Type: Mailing
950, Winter Street, Waltham, Middlesex County, Massachusetts, 02451, United States
WALTHAM, MA 02451
Phone: (781) 472-8787
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.

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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 02131)

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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: 6608855119View full group profile

Name	Specialty	State
MEGHAN ELIZABETH BUTLER (NP)	Nurse Practitioner	MA
LORI L FELDMAN (LCSW)	Clinical Social Worker	MA
DR. JENNIFER K HUGHES (M.D.)	Hospice/Palliative Care, Internal Medicine	MA
MS. SAVATRI TACK (NP)	-	MA
DR. VLADIMIR KAPLINSKIY (M.D.)	-	MA
MS. OLIVIA JUSTINE LIFF (M.D.)	Family Practice	MA
LEORA BOREK (M.D.)	P S Y C H I A T R Y	MA
ELIZABETH H TERHUNE	-	MA
DAVID J SUTTER (PA)	Physician Assistant	MA
DR. RASHMI KAURA (MD)	Hospice/Palliative Care, Geriatric Medicine	MA