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

Annette Nichole Sullivan, MD

Individual provider Dermatology Physician · NPI 1316328719

Annette Nichole Sullivan, MD is a Micrographic Dermatologic Surgery (Mds) in Mankato, Minnesota. Graduated from Indiana University School of Medicine in 2015, 11 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
11
Trained at
Indiana University School of Medicine
Licensed in
IL, MN
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 625-4031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5314 — (734) 936-6674

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 71763 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 71763 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125066220 (IL)

Record details

NPI number1316328719
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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