Lisa Marie Sullivan, APRN-CNP
NPI 1063255164ActiveIndividual· Nurse Practitioner, Primary Care· Yukon, OK
Nurse Practitioner, Primary Care (APRN-CNP) with The Physicians Group, LLC and 1 other group, practicing in Yukon, Oklahoma. Enrolled in Medicare as practitioner - nurse practitioner. Lists Community Hospital, LLC and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1063255164 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN-CNP |
| Sole proprietor | No |
| NPI issued | Jun 17, 2024 |
| Last updated in NPPES | Feb 9, 2026 |
| Certified by provider | Feb 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 220736 | OK |
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 (OK) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- The Physicians Group, LLCOklahoma City, OK · 111 clinicians
- Aquilo Health Company P C DBA Canadian Valley Family CareYukon, OK · 7 clinicians
Hospital affiliations
- Community Hospital, LLCOklahoma City, OK
- Integris Canadian Valley HospitalYukon, OK
- Integris Southwest Medical CenterOklahoma City, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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