Doctor profile · Federal record
Dr. Kelli Sullivan
Family Nurse Practitioner (CMS: Nurse Practitioner) · Shawnee, OK
- NPI 1386408656
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4409 N Kickapoo Ave
Shawnee, OK 748041206
(405) 242-4100 - Mailing address
-
15266 Red Stone RD
Choctaw, OK 730207258
Credentials & registration
- NPI registered
- February 2024 — 2 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Oklahoma #216574
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386408656. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$330
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Nevro Corp. | 4 | $311.42 | |
| Averitas Pharma Inc. | 1 | $18.36 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kelli Sullivan's medical specialty?
Dr. Kelli Sullivan practices Family Nurse Practitioner in Shawnee, OK.
Where does Dr. Kelli Sullivan practice?
Dr. Kelli Sullivan practices at 4409 N Kickapoo Ave, Shawnee, OK 748041206. Office phone: 4052424100.
What is Dr. Kelli Sullivan's NPI?
Dr. Kelli Sullivan's National Provider Identifier (NPI) is 1386408656, issued by NPPES.
Does Dr. Kelli Sullivan accept Medicare assignment?
Yes. Dr. Kelli Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.