Jasmin Lipat Sullivan, APRN
NPI 1053096081ActiveIndividual· Nurse Practitioner, Primary Care· Hudson, FL
Nurse Practitioner, Primary Care (APRN) with Guam X-Ray, practicing in Hudson, Florida. Their prescriptions cost Medicare Part D more than their services did: $106,163 for 2,292 claims, against $4,083 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. reported $18.91 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1053096081 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jun 19, 2023 |
| Last updated in NPPES | Feb 6, 2025 |
| Certified by provider | Feb 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | APRN11027004 | FL |
| Nurse Practitioner, Community Health | 363LC1500X | APRN11027004 | FL |
| Nurse Practitioner, Adult Health | 363LA2200X | APRN11027004 | FL |
| Nurse Practitioner, Family | 363LF0000X | APRN11027004 | FL |
| Nurse Practitioner, Gerontology | 363LG0600X | APRN11027004 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (GU) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 90 across 16 procedure codes |
| Paid by Medicare | $4,083 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,292 · 4,075 30-day fills |
|---|---|
| Patients | 516 |
| Total drug cost | $106,163 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Guam X-RayTamuning, GU · 30 clinicians
Industry payments (Open Payments)
- 2024$18.91 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $18.91 | 1 |
What the 2024 payments were for
- Food and Beverage$18.91 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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