Jessie Sullivan, NP
NPI 1790310589 · Family Nurse Practitioner · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessie Sullivan, NP is a Family Nurse Practitioner provider in Grand Rapids, MI (NPI 1790310589).
Provider details
- NPI number
- 1790310589
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704301679 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 220 Cherry St Se # 1Grand Rapids, MI 49503-4608Phone: (616) 685-5050Fax: (616) 685-8962
Registry dates
- Enumerated
- 2020-03-11
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is Jessie Sullivan's NPI number?
- Jessie Sullivan's National Provider Identifier (NPI) is 1790310589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessie Sullivan's specialty?
- Jessie Sullivan is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessie Sullivan located?
- Jessie Sullivan's practice location on file with NPPES is 3075 Orchard Vista Dr Se, Grand Rapids, MI 49546-7069.
- What is Jessie Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jessie Sullivan is (616) 301-8000.
- Does Jessie Sullivan accept Medicare?
- Jessie Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessie Sullivan's NPI active?
- Yes — Jessie Sullivan's NPI (1790310589) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.