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

Susan M Sullivan, FNP

Individual provider Adult Health Nurse Practitioner · NPI 1679900757

Susan M Sullivan, FNP is a Nurse Practitioner in Ballwin, Missouri. Qualified in 2013, 13 years ago. Practices with Mercy Clinic St Louis Cancer and Breast Institute LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

15945 Clayton Rd Ste 120A
Ballwin, MO 63011-2490
Phone: (636) 256-5000
Fax: (636) 256-5043
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2013039392 (MO)

Record details

NPI number1679900757
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 3, 2013
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mercy Clinic St Louis Cancer And Breast Institute Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ballwin