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

Katie Marie Sullivan, NP

Individual provider Registered Nurse · NPI 1801533864

Katie Marie Sullivan, NP is a Nurse Practitioner in East Lansing, Michigan. Qualified in 2022, 4 years ago. Practices with Msu Health Care Inc, a 201-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4650 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5386
Phone: (517) 353-4830
Fax: (517) 355-2134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1540 Lake Lansing Rd Ste G6, Lansing, MI 48912-3757 — (517) 482-7246

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704327523 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704327523 (MI)

Record details

NPI number1801533864
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Msu Health Care Inc. — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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