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

Mikaelyn Sullivan

Individual provider Family Nurse Practitioner · NPI 1154918092

Mikaelyn Sullivan is a Nurse Practitioner in Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Northwest Colorado Visiting Nurse Association, a 16-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2020
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Practice location Address checks out

4055 Valley View Ln Ste 400
Dallas, TX 75244-5071
Phone: (972) 715-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0996096-NP (CO)

Record details

NPI number1154918092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2020
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northwest Colorado Visiting Nurse Association — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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