Mallory Sullivan, PA
NPI 1750689311 · Physician Assistant · Providence, RI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallory Sullivan, PA is a Physician Assistant provider in Providence, RI (NPI 1750689311).
Provider details
- NPI number
- 1750689311
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA00585 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-07
- Last updated
- 2013-08-06
Frequently asked questions
- What is Mallory Sullivan's NPI number?
- Mallory Sullivan's National Provider Identifier (NPI) is 1750689311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Sullivan's specialty?
- Mallory Sullivan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mallory Sullivan located?
- Mallory Sullivan's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Mallory Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Mallory Sullivan is (401) 519-1604.
- Does Mallory Sullivan accept Medicare?
- Mallory Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallory Sullivan's NPI active?
- Yes — Mallory Sullivan's NPI (1750689311) is active in the NPPES registry as of the last update on 2013-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.