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

MS. Stephanie M. Sullivan, MSN, NP

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1730121864

MS. Stephanie M. Sullivan, MSN, NP is a Nurse Practitioner in Berkeley, California. Qualified in 2000, 26 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
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

2001 Dwight Way Second Fl
Berkeley, CA 94704-2608
Phone: (510) 204-5770
Fax: (510) 204-5749
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence 566514 (CA)

Record details

NPI number1730121864
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , NP
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJanuary 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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