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

Sandra Jean Sullivan, PA

Individual provider Medical Physician Assistant · NPI 1003967407

Sandra Jean Sullivan, PA is a Physician Assistant in North Conway, New Hampshire. Qualified in 1993, 33 years ago. Practices with Mainehealth New Hampshire Ambulatory Care, a 6-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
33
Licensed in
NH
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1976 White Mountain Hwy Ste 105
North Conway, NH 03860-5147
Phone: (603) 356-4940
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3056 (NH)
Physician Assistant Taxonomy 363A00000X · Licence 3056 (NH)

Record details

NPI number1003967407
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Mainehealth New Hampshire Ambulatory Care — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount