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

Elise Sullivan

Individual provider Family Nurse Practitioner · NPI 1932750874

Elise Sullivan is a Nurse Practitioner in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2018, 8 years ago. Practices with SSM Health Care Group, a 923-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2019
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Practice location Address checks out

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 268-5558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2019044085 (MO)

Record details

NPI number1932750874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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