Hazel Sullivan, AG- ACNP

NPI: 1679995112

Hazel Sullivan, AG- ACNP

Q: What is Hazel Sullivan's NPI number?

Hazel Sullivan's NPI number is 1679995112, a unique 10-digit identifier issued by CMS.

Q: What does Hazel Sullivan specialize in?

Hazel Sullivan specializes in Nurse Practitioner, taxonomy code 363LA2100X.

Q: Where does Hazel Sullivan practice?

Hazel Sullivan practices in Meridian, MS 39301-4116.

Q: When was Hazel Sullivan's NPI issued?

Hazel Sullivan's NPI was issued on January 18, 2014.

Q: What is Hazel Sullivan's provider type?

Hazel Sullivan is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: January 18, 2014

Quick Facts

NPI Number

1679995112

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LA2100X — Nurse Practitioner

Phone

(601) 483-0011

StateMS

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1679995112)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (January 18, 2014)

Data source: CMS NPPES

Provider Overview

HAZEL SULLIVAN, AG- ACNP is a Nurse Practitioner provider based in Meridian, MS who has been registered with CMS since 2014. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1679995112

Provider TypeIndividual Provider

GenderFemale

CredentialAG- ACNP

StatusActive

Enumeration DateJanuary 18, 2014

Practice Location

CityMeridian

StateMS

ZIP Code39301-4116

Phone(601) 483-0011

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LA2100X

License StateMS

Mailing Address

CityMeridian

StateMS

ZIP Code39301-4116

Phone(601) 483-0011

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1679995112 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1679995112for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1679995112 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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