Kelly Sullivan, CRNP
NPI 1114392735ActiveIndividual· Nurse Practitioner, Family· Warren, PA
Nurse Practitioner, Family (CRNP) in Warren, Pennsylvania, licensed in PA, with an NPI issued in December 2015. Their prescriptions cost Medicare Part D more than their services did: $53,501 for 1,184 claims, against $11,837 paid for services in 2024.
Overview
| NPI | 1114392735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | Yes |
| NPI issued | Dec 8, 2015 |
| Last updated in NPPES | Oct 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP015625 | PA |
| Clinical Nurse Specialist, Family Health | 364SF0001X | SP015625 | PA |
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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 345 across 7 procedure codes |
| Paid by Medicare | $11,837 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,184 · 1,187 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $53,501 |
| Generic share | 80% of claims |
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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