Elexa Sullivan, PA
NPI 1760359400ActiveIndividual· Physician Assistant· Lebanon, TN
Physician Assistant (PA) in Lebanon, Tennessee, trained at Lincoln Mem Univ, Debusk Col of Osteopathic Med (class of 2025). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1760359400 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 18, 2025 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6839 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|
Education and affiliations
| Medical school | Lincoln Mem Univ, Debusk Col of Osteopathic Med |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physician Assistant |
Medical group
- Anycare LLCLebanon, TN · 7 clinicians
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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