ELIZABETH MARY SULLIVAN (NP) – Nurse Practitioner, NPI 1740717842

ELIZABETH MARY SULLIVAN (NP) is a healthcare provider. based in Hopkins, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 5319 (MN). The NPI Number for ELIZABETH MARY SULLIVAN (NP) is 1740717842

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MARY SULLIVAN (NP)
NPI
1740717842
Phone
(952) 933-5085
Address
15 8TH AVE N # 1
Enumeration Date
19 May 2017
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529335085
Graduation Year
2017 (9 years ago)
PAC ID
7719259860
Group Practice PAC ID
5496703829
Professional Enrollment ID
I20170824000108
Address ID
MN553437611HO15XXXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for ELIZABETH MARY SULLIVAN (NP)

  • 15 8TH AVE N # 1

    HOPKINS, MN 553437611

    Phone: (952) 933-5085

    Type: Location

  • 8650 HUDSON BLVD N STE 100

    LAKE ELMO, MN 550428416

    Phone: (651) 439-8807

    Fax: (651) 439-0232

    Type: Location

  • 5803, Neal Avenue North, Oak Park Heights, Washington County, Minnesota, 55082, United States

    OAK PARK HEIGHTS, MN 550822177

    Phone: (651) 439-8807

    Fax: (651) 439-0232

    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: 2019-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170824000108INurse PractitionerMNTBD
I20191021001276INurse PractitionerWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8737$0
20553Injection of trigger points, 3 or more muscles5625$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance5327$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
99214Established patient office or other outpatient visit, 30-39 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 55343)

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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: 5496703829View full group profile
NameSpecialtyState
-MN
Physical Therapist In Private PracticeMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
Physical Therapist In Private PracticeMN
-MN
Nurse PractitionerMN
-MN
-MN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Does ELIZABETH MARY SULLIVAN (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ELIZABETH MARY SULLIVAN (NP) uses 1740717842.
Is ELIZABETH MARY SULLIVAN (NP) listed as active for patients and plans?
The listing shows ELIZABETH MARY SULLIVAN (NP) as active in the NPI system.
What is ELIZABETH MARY SULLIVAN (NP) best known for clinically?
Directory data describes ELIZABETH MARY SULLIVAN (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does ELIZABETH MARY SULLIVAN (NP) serve?
ELIZABETH MARY SULLIVAN (NP)'s listing highlights Hopkins, Minnesota; more addresses can appear in NPPES.
Is the information about ELIZABETH MARY SULLIVAN (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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