ANDREW SULLIVAN PA-C NPI 1780067678

NPI Information

  • NPI: 1780067678
  • Provider Name: ANDREW SULLIVAN, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 802 ACKERLY ST
    LAMONI, IA
    ZIP 50140
  • Phone: (641) 784-7911

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NPI Details

Andrew Sullivan, PA-C is a physician assistant in Lamoni, IA with 11 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Andrew Sullivan, PA-C NPI is 1780067678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

802 ACKERLY ST
LAMONI, IA
ZIP 50140-544
Phone: (641) 784-7911

The NPI 1780067678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin a1c level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Blood test, clotting time (HCPCS:85610)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Automated urinalysis test (HCPCS:81003)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Urine microalbumin (protein) level (HCPCS:82043)

The enumeration date for this NPI number is 7/9/2015 and was last updated on 7/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1127604IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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