Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Sullivan

Individual provider Family Nurse Practitioner · NPI 1316662562

Alicia Sullivan is a Nurse Practitioner in Midland, Michigan. Qualified in 2022, 4 years ago. Practices with Mymichigan Medical Center Gladwin, a 62-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

4401 Campus Ridge Dr Ste 2100
Midland, MI 48640-6125
Phone: (989) 837-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4801 McLeod Dr E, Saginaw, MI 48604-2840 — (989) 607-0809

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704324552 (MI)

Record details

NPI number1316662562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address4000 Wellness Dr, Midland, MI 48670-2000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mymichigan Medical Center Gladwin — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Midland