Carolyn Sullivan, AC PNP
Carolyn Sullivan, AC PNP is a Critical Care Pediatric Nurse Practitioner in Springfield, MO, registered under NPI 1225306269.
Getting there
The practice address on file is 3231 S NATIONAL AVE SUITE 115, Springfield, MO 65807. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2015003901 | MO | Critical Care Pediatric Nurse Practitioner primary |
| 209009257 | IL | Critical Care Pediatric Nurse Practitioner |
Licences are recorded in 2 states: MO, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 0648424259
- Enrollment ID
- I20150922001900
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Missouri. The practice address on file is in Springfield, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 2015003901
- Specialty
- Critical Care Pediatric Nurse…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pediatrics, Critical Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0222X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0222X | Critical Care Pediatric Nurse Practitioner Pediatrics, Critical Care | 2015003901 | MO | primary |
| 363LP0222X | Critical Care Pediatric Nurse Practitioner Pediatrics, Critical Care | 209009257 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1225306269 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 5, 2011 |
| Last updated | Nov 19, 2015 |
| Status | Active |
| Sole proprietor | No |
| Credential | AC PNP |
| Practice address |
3231 S NATIONAL AVE SUITE 115 Springfield, MO 65807 (417) 885-0824 Fax (417) 890-4174 |
| Mailing address |
PO BOX 505164 Saint Louis, MO 63150 |
| Other identifiers |
1225306269
· Medicaid (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 3 | 0 | 6 | 2 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 6 | 0 | 3 | 2 | 3 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.