RACHELL ALISSIA SULLIVAN – Family Nurse Practitioner, NPI 1790311603

RACHELL ALISSIA SULLIVAN is a healthcare provider. based in Midlothian, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP145381 (TX). The NPI Number for RACHELL ALISSIA SULLIVAN is 1790311603

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
RACHELL ALISSIA SULLIVAN
NPI
1790311603
Phone
Not provided
Address
6010 PARK VIEW DR
Enumeration Date
23 March 2020
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9408080949
Graduation Year
2019 (7 years ago)
PAC ID
1951717024
Group Practice PAC ID
0042447336
Professional Enrollment ID
I20210316000333
Address ID
TX762056614DE1725XEXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for RACHELL ALISSIA SULLIVAN

  • 6010 PARK VIEW DR

    MIDLOTHIAN, TX 760658933

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($72).

Total Amount

$189

General + Research + Ownership

Payments

8

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2021-03-16

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
I20210316000333INurse PractitionerTXTBD

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 minutes15875$0
99203New patient office or other outpatient visit, 30-44 minutes7676$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance7234$0
36471Injection of chemical agent into multiple incompetent veins of leg2012$0
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance1811$0
View full utilization report →

Insurance plans in this area (ZIP 76065)

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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: 0042447336View full group profile
NameSpecialtyState
General Surgery, General Surgery, NeurosurgeryCA
General SurgeryTX
Physician AssistantAL
-LA
-TX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is RACHELL ALISSIA SULLIVAN's NPI number?
RACHELL ALISSIA SULLIVAN's NPI is 1790311603 — the number used across U.S. healthcare to identify this provider.
Is RACHELL ALISSIA SULLIVAN shown as active in public data?
Registry records indicate RACHELL ALISSIA SULLIVAN maintains an active NPI.
What expertise is attributed to RACHELL ALISSIA SULLIVAN?
RACHELL ALISSIA SULLIVAN's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is RACHELL ALISSIA SULLIVAN located near Midlothian?
RACHELL ALISSIA SULLIVAN currently maps to Midlothian, Texas in this extract.
When was this NPI issued?
Enumeration for RACHELL ALISSIA SULLIVAN is noted as March 23, 2020 where the registry provides it.

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