Kelly Sullivan

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NPI Number Detailed Information

Provider Information:

Name:	Kelly Sullivan
Gender:	F
Provider License Number If Given:	SP015625

NPI Information:

NPI:	1114392735
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/8/2015
Last Update Date:	10/3/2018

Provider Business Mailing Address:

Address:	2 W CRESCENT PARK Warren, PA 16365
Phone Number:	8147233300
Fax Number:	8147269412

Provider Business Practice Location Address:

Address:	2 W CRESCENT PARK Warren, PA 16365
Phone Number:	8147233300
Fax Number:	8147269412

Provider Taxonomy:

Primary:	364SF0001X
Secondary (if any):	363LF0000X
State:	PA

Top Doctors in PA

About Kelly Sullivan

Kelly Sullivan ( KELLY SULLIVAN ) is Definition Clinical Nurse Specialist Physician in Warren, PA. The NPI Number for Kelly Sullivan is 1114392735.

The current location address for Kelly Sullivan is 2 W CRESCENT PARK Warren, PA 16365 and the contact number is 8147233300 and fax number is 8147269412. The mailing address for Kelly Sullivan is 2 W CRESCENT PARK Warren, PA 16365- 8147233300 (mailing address contact number - 8147233300).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Kelly Sullivan ?

Answer: The NPI Number for Kelly Sullivan is 1114392735

Where is Kelly Sullivan located?

Answer: Kelly Sullivan is located at 2 W CRESCENT PARK Warren, PA 16365.

What is the specialty for Kelly Sullivan ?

Answer: The Specialty of Kelly Sullivan is Definition Clinical Nurse Specialist Physician.

Are there any online reviews for Kelly Sullivan ?

Answer: Not yet!

Are there any other health care providers in Warren, PA?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kelly Sullivan

Number of HCPCS	10
Number of Medicare Beneficiaries	50
Number of Services	307
Total Submitted Charge Amount	17986.54
Total Medicare Allowed Amount	11302.84
Total Medicare Payment Amount	8983.53
Total Medicare Standardized Payment Amount	8943.07
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	10
Number of Medicare Beneficiaries With Medical	50
Number of Medical Services	307
Total Medical Submitted Charge Amount	17986.54
Total Medical Medicare Allowed Amount	11302.84
Total Medical Medicare Payment Amount	8983.53
Total Medical Medicare Standardized Payment Amount	8943.07
Average Age of Beneficiaries	59
Number of Beneficiaries Age Less 65	32
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	33
Number of Male Beneficiaries	17
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	25
Number of Beneficiaries With Medicare Only Entitlement	25
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.28
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.22
Percent (%) of Beneficiaries Identified With Diabetes	0.34
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.62
Percent (%) of Beneficiaries Identified With Hypertension	0.6
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.26
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.75
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.3672

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	1423
Number of Standardized 30-Day Fills	1423.3333333
Aggregate Cost Paid for All Claims	94410.94
Number of Day's Supply for All Claims	36202
Number of Medicare Beneficiaries	47
Number of Claims, Including Refills, for Beneficiaries Age 65+	781
Including Refills, for Beneficiaries Age 65+	781.26666667
Beneficiaries Age 65+	58073.21
Number of Day's Supply for All Claims for Beneficaries Age 65+	19670
Number of Medicare Beneficiaries Age 65+	19
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	389
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	1034
Aggregate Cost Paid for Generic Drugs	21344.7
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	449
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	29278.88
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	974
Aggregate Cost Paid for Claims Filled by	65132.06
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1239
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	87130.62
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	184
by Low-Income Subsidy	7280.32
Total Claims of Opioid Drugs, Including	15
Aggregate Cost Paid for Opioid Drugs	341.19
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	1.054111033
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	53
Aggregate Cost Paid for Antibiotic Drugs	470.91
Antibiotic Claims	12
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	58.957446809
Number of Beneficiaries Age Less Than 65	28
Number of Beneficiaries Age 65 to 74	16
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	27
Number of Male Beneficiaries	20
Number of Non-Hispanic White	43
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	15
Average Hierarchical Condition Category	1.6365833333

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