Doctor profile · Federal record
Dr. Mary Sullivan, PCNS
Gerontology Nurse Practitioner (CMS: Nurse Practitioner) · Mental Health Counselor · Providence, RI
- NPI 1386662484
- Accepts Medicare
- 21 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
50 Maude St
Providence, RI 029084325
(401) 456-2000
fax (401) 456-6554
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- February 2, 2012
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 363LG0600X — NUCC code
- State licenses (2)
- California #21544 · Rhode Island #PPNS00073
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386662484. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$39
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen INC. | 1 | $19.75 | |
| Alkermes, INC. | 1 | $19.59 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
62
Patients
0
Total drug cost
$7,070
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Bupropion Xl (Bupropion Hcl) | Brand | 14 | 0 | $885 |
| Duloxetine Hcl | Generic | 14 | 0 | $285 |
| Sertraline Hcl | Generic | 12 | 0 | $156 |
| Clonazepam | Generic | 11 | 0 | $84 |
| Lurasidone Hcl | Generic | 11 | 0 | $5,660 |
Frequently asked questions
What is Dr. Mary Sullivan's medical specialty?
Dr. Mary Sullivan practices Gerontology Nurse Practitioner in Providence, RI.
Where does Dr. Mary Sullivan practice?
Dr. Mary Sullivan practices at 50 Maude St, Providence, RI 029084325. Office phone: 4014562000.
What is Dr. Mary Sullivan's NPI?
Dr. Mary Sullivan's National Provider Identifier (NPI) is 1386662484, issued by NPPES.
Does Dr. Mary Sullivan accept Medicare assignment?
Yes. Dr. Mary Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.