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

Crystal Sullivan, DO

Individual provider Family Medicine Physician · NPI 1477864502

Crystal Sullivan, DO is a Family Practice in Jefferson City, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2007, 19 years ago. Practices with Community Health Ctr of Central Missouri, a 17-clinician group. Licensed in Missouri.

Years since qualifying
19
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1511 Christy Dr
Jefferson City, MO 65101-2854
Phone: (573) 632-2777
Fax: (573) 632-2769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2010014089 (MO)

Record details

NPI number1477864502
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address3349 American Ave Ste C, Jefferson City, MO 65109-1079

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2007 (19 years in practice)
Group practice Community Health Ctr Of Central Missouri — 17 clinicians
Accepts Medicare assignment Not indicated

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