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

Charise N Sullivan, PA-C

Individual provider Physician Assistant · NPI 1386825909

Charise N Sullivan, PA-C is a Physician Assistant in Webster, Texas. Qualified in 2007, 19 years ago. Practices with Nluc PLLC, a 222-clinician group and accepts Medicare assignment. Licensed in Minnesota and Texas.

Years since qualifying
19
Licensed in
MN, TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 E Medical Center Blvd
Webster, TX 77598
Phone: (281) 332-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA08489 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 10356 (MN)

Record details

NPI number1386825909
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 26, 2007
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Nluc Pllc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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