Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michaela Paige Sullivan, PA-C

Individual provider Physician Assistant · NPI 1982308193

Michaela Paige Sullivan, PA-C is a Physician Assistant in Loveland, Colorado. Qualified in 2023, 3 years ago. Practices with Lake Loveland Dermatology PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1708 Boise Ave
Loveland, CO 80538-4204
Phone: (970) 667-3116
Fax: (970) 669-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13001 E 17th Place, Aurora, CO 80045 — (303) 724-7963

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1982308193
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lake Loveland Dermatology Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Loveland