HEATHER M SULLIVAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1326036864

HEATHER M SULLIVAN (CRNA) is a healthcare provider. based in Havertown, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN310436L (PA). The NPI Number for HEATHER M SULLIVAN (CRNA) is 1326036864

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER M SULLIVAN (CRNA)
NPI
1326036864
Phone
(717) 263-5562
Address
2010 OLD WEST CHESTER PIKE SUITE 330
Enumeration Date
10 October 2005
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4846227100
Graduation Year
1996 (30 years ago)
PAC ID
5890772065
Group Practice PAC ID
2769395896
Professional Enrollment ID
I20040706000814
Address ID
PA194034250EA559XXPIKE400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for HEATHER M SULLIVAN (CRNA)

  • 2010 OLD WEST CHESTER PIKE SUITE 330

    HAVERTOWN, PA 190832712

    Phone: (717) 263-5562

    Fax: (717) 263-1566

    Type: Mailing

  • 2010, Old West Chester Pike, Adele, Havertown, Haverford Township, Delaware County, Pennsylvania, 19083, United States

    SUITE 330

    HAVERTOWN, PA 190832712

    Phone: (610) 789-8070

    Fax: (610) 789-9937

    Type: Location

  • 559 W Germantown Pike

    East Norriton, PA 194034250

    Phone: (484) 622-1248

    Fax: (484) 622-1269

    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: 2004-07-06

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
I20040706000814ICertified Registered Nurse Anesthetist (Crna)PATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2222$0
00813Anesthesia for procedure on small and large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 19083)

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Provider's Procedures

HEATHER M SULLIVAN (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETPA00142Anesthesia for lens surgery5351

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: 2769395896View full group profile
NameSpecialtyState
E N D O C R I N O L O G YPA
-PA
Internal MedicinePA
Nurse PractitionerPA
N E U R O L O G YPA
-PA
-PA
Diagnostic RadiologyPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

What NPI should I save for HEATHER M SULLIVAN (CRNA)?
Save NPI 1326036864 if you need a stable reference for HEATHER M SULLIVAN (CRNA).
Is HEATHER M SULLIVAN (CRNA) currently active in the NPI registry?
CMS-published data lists HEATHER M SULLIVAN (CRNA) as an active registrant.
What field does HEATHER M SULLIVAN (CRNA) work in?
You can think of HEATHER M SULLIVAN (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is HEATHER M SULLIVAN (CRNA)'s primary listing?
We display Havertown, Pennsylvania because that is what the record indicates for HEATHER M SULLIVAN (CRNA).
What if Havertown, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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Unknown Individual

Certified Registered Nurse Anesthetist
Havertown Post Office, 444, East Township Line Road, Llanerch, Havertown, Haverford Township, Delaware County, Pennsylvania, 19083, United States
NPI: 1265428825