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

Mrs. Kristine Sullivan, NP

Individual provider Family Nurse Practitioner · NPI 1336799899

Mrs. Kristine Sullivan, NP is a Nurse Practitioner in Ithaca, New York. Qualified in 2019, 7 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

101 Dates Dr
Ithaca, NY 14850-1342
Phone: (607) 274-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 345036 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F345036 (NY)

Record details

NPI number1336799899
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 17, 2019
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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