Kimberly Ann Sullivan, P.A.
NPI 1699008359ActiveIndividual· Physician Assistant, Surgical· Seaford, DE
Physician Assistant, Surgical (P.A.) with Tidalhealth Physician Network, Inc., practicing in Seaford, Delaware. Medicare paid $17,597 for services to 114 patients in 2024. Lists Tidalhealth Nanticoke, Inc. as a hospital affiliation.
Overview
| NPI | 1699008359 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Sep 14, 2009 |
| Last updated in NPPES | Nov 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | C0003687 | MD |
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 - Physician Assistant (DE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 125 across 6 procedure codes |
| Paid by Medicare | $17,597 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Tidalhealth Physician Network, Inc.Seaford, DE · 117 clinicians
Hospital affiliation
- Tidalhealth Nanticoke, Inc.Seaford, DE
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other surgical physician assistants in Seaford
- 1710686092
- 1700714318