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

Mathilde M Sullivan, PA

Individual provider Medical Physician Assistant · NPI 1992180442

Mathilde M Sullivan, PA is a Physician Assistant in Thornton, Colorado. Qualified in 2015, 11 years ago. Practices with Clinica Campesina Family Health Services, a 95-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
11
Licensed in
CO
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8990 Washington St
Thornton, CO 80229-4537
Phone: (720) 929-1655
Fax: (720) 565-4129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0004316 (CO)

Record details

NPI number1992180442
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 27, 2015
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address1735 S Public Rd Ste 203, Lafayette, CO 80026-7093

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Clinica Campesina Family Health Services — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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