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

Kailee Renee Sullivan, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1902278609

Kailee Renee Sullivan, APRN-CNP is a Nurse Practitioner in Ada, Oklahoma. Qualified in 2016, 10 years ago. Practices with Medcore, LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2015
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Practice location Address checks out

721 Better Now Plz
Ada, OK 74820-2279
Phone: (580) 272-0025
Fax: (580) 272-6559
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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 103054 (OK)

Record details

NPI number1902278609
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medcore, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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