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

Mr. Jared Daniel Sullivan, CRNA

Individual provider Registered Nurse · NPI 1710309208

Mr. Jared Daniel Sullivan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pittsburgh, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Sunshine State Anesthesia Partners LLC, a 433-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1400 Locust St
Pittsburgh, PA 15219-5114
Phone: (412) 232-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 100837 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN617149 (PA)

Record details

NPI number1710309208
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 17, 2014
Last updated in NPPESJanuary 17, 2014
Mailing address1400 Locust St, Pittsburgh, PA 15219-5114

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Sunshine State Anesthesia Partners Llc — 433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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