IndividualActive
Mary Sullivan
NPI 1275627713 · Nurse Practitioner · Portage, MI
Mary Sullivan is a Nurse Practitioner provider in Portage, MI (NPI 1275627713).
Provider details
- NPI number
- 1275627713
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704209403 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8001 Angling Road
Portage, MI 49024
Phone: (269) 329-0944
Street-level locationGet directions
Mailing address
5943 Stadium Drive
Kalamazoo, MI 49009
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mary Sullivan's NPI number?
- Mary Sullivan's National Provider Identifier (NPI) is 1275627713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Sullivan's specialty?
- Mary Sullivan is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Sullivan located?
- Mary Sullivan's practice location on file with NPPES is 8001 Angling Road, Portage, MI 49024.
- What is Mary Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Mary Sullivan is (269) 329-0944.
- Is Mary Sullivan's NPI active?
- Yes — Mary Sullivan's NPI (1275627713) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.