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

Maura K Sullivan, PA

Individual provider Medical Physician Assistant · NPI 1255526810

Maura K Sullivan, PA is a Physician Assistant in Kalamazoo, Michigan. Qualified in 2007, 19 years ago. Practices with Ascension Medical Group Promed, a 255-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2007
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

2520 Robert Jones Way
Kalamazoo, MI 49009-1904
Phone: (269) 663-4032
Fax: (269) 488-6580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1535 Gull Road, Kalamazoo, MI 49048-1630 — (269) 385-9900

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005124 (MI)

Record details

NPI number1255526810
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 7, 2007
Last updated in NPPESApril 19, 2026
Certification dateApril 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ascension Medical Group Promed — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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