Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Lyn Kruse-Sullivan, CRNP

Individual provider Registered Nurse · NPI 1538566872

Susan Lyn Kruse-Sullivan, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2014, 12 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

230 W Washington Sq
Philadelphia, PA 19106-3585
Phone: (215) 829-6088
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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 SP014639 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN309947L (PA)

Record details

NPI number1538566872
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 2, 2014
Last updated in NPPESAugust 11, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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