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

Mrs. Kendra Lynn Sullivan, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1780045526

Mrs. Kendra Lynn Sullivan, FNP-BC is a Nurse Practitioner in Chatham, Illinois. Graduated from Southern Illinois University School of Medicine in 2015, 11 years ago. Practices with Menard Medical Center, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2016
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone: (217) 483-3487
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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 209013990 (IL)

Record details

NPI number1780045526
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 7, 2016
Last updated in NPPESMarch 9, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Menard Medical Center, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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