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

Marisa Sullivan, MSN, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1275991432

Marisa Sullivan, MSN, AGACNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2015, 11 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
11
Licensed in
NJ, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

301 E 17th St
New York, NY 10003-3804
Phone: (212) 263-5230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Cooper Plz Rm 518, Camden, NJ 08103-1438 — (856) 342-3250

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 431368 (NY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 26NJ00615100 (NJ)

Record details

NPI number1275991432
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AGACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 3, 2016
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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