Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wanda J Sullivan, RN

Individual provider Nurse Practitioner · NPI 1740360353

Wanda J Sullivan, RN is a Nurse Practitioner in Ruston, Louisiana. Qualified in 2003, 23 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
23
Licensed in
LA
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

765 S Bonner St
Ruston, LA 71270-5801 Not confirmed with CMS for 10 years — call before visiting
Phone: (318) 202-5935
Fax: (318) 202-5933
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN073140 (LA)

Record details

NPI number1740360353
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESFebruary 18, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients132
Services billed 387 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at LSU Health Sciences Center Shreveport Faculty Group Practice

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 569 clinicians in the practice; 12 are shown here.

Other providers in Ruston