Kandis Kay Sullivan
NPI 1861714917ActiveIndividual· Nurse Practitioner, Primary Care· Tomah, WI
Nurse Practitioner, Primary Care in Tomah, Wisconsin, licensed in WI, with an NPI issued in February 2010. Part D covered 31 prescriptions written in 2024, 94% of them generic.
Overview
| NPI | 1861714917 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 17, 2010 |
| Last updated in NPPES | Jul 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 3857-33 | WI |
| Registered Nurse | 163W00000X | 108168-030 | WI |
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 Order and Referring Only - Nurse Practitioner (WI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 71 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $1,410 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Tomah
- 1912770637
- 1508007980