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

Lisa Marie Sullivan, APRN-CNP

Individual provider Primary Care Nurse Practitioner · NPI 1063255164

Lisa Marie Sullivan, APRN-CNP is a Nurse Practitioner in Yukon, Oklahoma. Qualified in 2024, 2 years ago. Practices with The Physicians Group, LLC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024

Practice location Address checks out

1491 Health Center Pkwy
Yukon, OK 73099-6492
Phone: (405) 806-2200
Fax: (405) 806-2207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 220736 (OK)

Record details

NPI number1063255164
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Physicians Group, Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Yukon