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

Mrs. Mary Ellen Sullivan, GNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1861676942

Mrs. Mary Ellen Sullivan, GNP-BC is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2007, 19 years ago. Practices with SC House Calls Inc, a 446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
19
Licensed in
SC
In the registry since
2007

Practice location Address checks out

111 Doctor Cir
Columbia, SC 29203-6502
Phone: (800) 491-0909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 3428 (SC)

Record details

NPI number1861676942
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP-BC
Sole proprietorNo
NPI enumeratedDecember 25, 2007
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sc House Calls Inc — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Columbia