KAILEE RENEE SULLIVAN (APRN-CNP) – Family Nurse Practitioner, NPI 1902278609

KAILEE RENEE SULLIVAN (APRN-CNP) is a healthcare provider. based in Pauls valley, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 103054 (OK). The NPI Number for KAILEE RENEE SULLIVAN (APRN-CNP) is 1902278609

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KAILEE RENEE SULLIVAN (APRN-CNP)
NPI
1902278609
Phone
(405) 207-9800
Address
105 N INDIAN MERIDIAN RD
Enumeration Date
21 October 2015
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802720025
Graduation Year
2016 (10 years ago)
PAC ID
3476846528
Group Practice PAC ID
3173025848
Professional Enrollment ID
I20160727000227
Address ID
OK748202279AD721XXPLZX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for KAILEE RENEE SULLIVAN (APRN-CNP)

  • 105 N INDIAN MERIDIAN RD

    PAULS VALLEY, OK 730759236

    Phone: (405) 207-9800

    Type: Location

  • 721 BETTER NOW PLZ

    ADA, OK 748202279

    Phone: (580) 272-0025

    Fax: (580) 272-6559

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($221).

Total Amount

$239

General + Research + Ownership

Payments

18

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$221
Novo Nordisk Inc$18
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: 2016-07-27

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
I20160727000227INurse PractitionerOKTBD

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
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5551$0
81003Automated urinalysis test3734$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)3534$0
87804Detection test by immunoassay with direct visual observation for influenza virus3417$0
99214Established patient office or other outpatient visit, 30-39 minutes2725$0
View full utilization report →

Insurance plans in this area (ZIP 73075)

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Reviews

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Frequently asked questions

How do payers reference KAILEE RENEE SULLIVAN (APRN-CNP)?
For KAILEE RENEE SULLIVAN (APRN-CNP), use NPI 1902278609 as the unique 10-digit identifier.
Active or inactive — what applies to KAILEE RENEE SULLIVAN (APRN-CNP)?
You should see KAILEE RENEE SULLIVAN (APRN-CNP) as active in CMS-hosted NPPES data.
What kind of doctor is KAILEE RENEE SULLIVAN (APRN-CNP)?
KAILEE RENEE SULLIVAN (APRN-CNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KAILEE RENEE SULLIVAN (APRN-CNP) located near Pauls Valley?
KAILEE RENEE SULLIVAN (APRN-CNP) currently maps to Pauls Valley, Oklahoma in this extract.
When was this NPI issued?
Enumeration for KAILEE RENEE SULLIVAN (APRN-CNP) is noted as October 21, 2015 where the registry provides it.

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