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

Wamaitha Sullivan, FNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689908220

Wamaitha Sullivan, FNP-BC is a Nurse Practitioner in Gibson City, Illinois. Qualified in 2009, 17 years ago. Practices with First Docs PC, a 177-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1120 N Melvin St
Gibson City, IL 60936-1477
Phone: (217) 379-4864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 819 Bloomington Rd, Champaign, IL 61820-2101 — (217) 356-1558

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277000092 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209007740 (IL)

Record details

NPI number1689908220
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 30, 2009
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice First Docs Pc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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