ASHLEY NICOLE SULLIVAN (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1316238991
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for ASHLEY NICOLE SULLIVAN (M.D.)
301 CONCOURSE BLVD STE 190
GLEN ALLEN, VA 230595759
Phone: (804) 939-6186
Fax: (804) 549-4032
Type: Mailing
7201 GLEN FOREST DR STE 100
RICHMOND, VA 232263759
Phone: (804) 939-6186
Fax: (804) 549-4032
Type: Mailing
10800 MIDLOTHIAN TPKE
SUITE 309
NORTH CHESTERFIELD, VA 232354724
Phone: (804) 794-2307
Fax: (804) 549-4032
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.
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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: 2016-10-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161003000640 | I | Dermatology | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 612 | 512 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 454 | 109 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 432 | 270 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 374 | 283 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 274 | 250 | $0 |
Insurance plans in this area (ZIP 23059)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Pathology, Dermatology | VA | |
| Physician Assistant | VA | |
| D E R M A T O L O G Y | VA | |
| Dermatology, Pathology | VA | |
| D E R M A T O L O G Y | VA | |
| - | VA | |
| D E R M A T O L O G Y | VA | |
| - | VA | |
| D E R M A T O L O G Y | VA |
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