MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) – Physician Assistant, NPI 1639320336

MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) is a healthcare provider. based in Franklin, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, PA-C. They hold a License No. AP2616 (MA). The NPI Number for MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) is 1639320336

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C)
NPI
1639320336
Phone
(508) 212-2838
Address
6 DOVER CIR
Enumeration Date
1 October 2008
Last Update Date
23 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2395933232
Graduation Year
2008 (18 years ago)
PAC ID
2365503067
Group Practice PAC ID
2567403215
Professional Enrollment ID
I20151008001585
Address ID
FL341033728NA3601XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C)

  • 6, Dover Circle, Franklin, Norfolk County, Massachusetts, United States

    FRANKLIN, MA 020381548

    Phone: (508) 212-2838

    Type: Mailing

  • 2, Fogg Road, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States

    WEYMOUTH, MA 02190

    Phone: (781) 624-8000

    Type: Location

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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-08

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
I20151008001585IPhysician AssistantFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes249246$0
99204New patient office or other outpatient visit, 45-59 minutes136136$0
87804Detection test by immunoassay with direct visual observation for influenza virus11762$0
99203New patient office or other outpatient visit, 30-44 minutes6767$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus6564$0
View full utilization report →

Insurance plans in this area (ZIP 02038)

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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: 2567403215View full group profile
NameSpecialtyState
General PracticeOH
Physician AssistantFL
Emergency MedicineFL
Physician AssistantFL
Emergency MedicineFL
Emergency MedicineFL
Physician AssistantNY
Nurse PractitionerMT
General Practice, Emergency MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) in the U.S.?
In the U.S., MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) is identified by NPI 1639320336.
Is MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) as active.
What services align with MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C)'s listing?
MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) tied to Franklin, Massachusetts?
If you are local to Franklin, Massachusetts, MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C) may be relevant to your search.
Why is information missing for MS. KATHLEEN CONNELLY SULLIVAN (MS, PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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