Nickolas Shawn Sullivan-Kern is a Case Manager/Care Coordinator practicing in Greybull, Wyoming. The National Provider Identifier (NPI) is #1972318830, which was assigned on February 10, 2025, and the registration record was last updated on February 10, 2025. The practitioner's main practice location is at 1017 N 8th St, Greybull, WY 82426-1616; the contact telephone number is 3078995172. The primary taxonomy of Nickolas Shawn Sullivan-Kern is Case Manager/Care Coordinator (171M00000X).
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
| NPI | 1972318830 |
| Entity Type | Individual |
| Provider Name | NICKOLAS SHAWN SULLIVAN-KERN |
| Gender | Male |
| Practice Address |
1017 N 8th St Greybull WY 82426-1616 |
| Practice Telephone | 3078995172 |
| Mailing Address |
1017 N 8th St Greybull WY 82426-1616 |
| Mailing Telephone | 3078995172 |
| Certification Date | 2025-02-09 |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator |
| Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| Classification | Case Manager/Care Coordinator |
| Grouping | Other Service Providers |
| Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
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| Street Address |
1017 N 8TH ST |
| City | GREYBULL |
| State | WY |
| Zip Code | 82426-1616 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lacey Ford · Lacey Allredge | 1017 N 8th St, Greybull, WY 82426-1616 | Case Manager/Care Coordinator | 2025-02-07 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Melissa Jean Eckman | 3395 Rimrock Rd, Greybull, WY 82426-9745 | Registered Nurse | 2024-10-31 |
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| Makyela Dawn Sorensen | 6 S 5th St, Greybull, WY 82426-2133 | Physician Assistant | 2023-06-27 |
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|---|---|---|---|
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| Joslynn K Parks | 111 S 5th St, Douglas, WY 82633-2434 | Occupational Therapist | 2025-08-06 |
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| William Eugene Sullivan · Bill Sullivan | 2715 W Court St, Pasco, WA 99301-3911 | Optometrist | 2011-07-09 |
| Nickolas Camarata | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | Military Health Care Provider | 2023-02-17 |
| Nickolas Olabode | 8921 California Ave, South Gate, CA 90280-3013 | Addiction (Substance Use Disorder) Counselor | 2023-11-14 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |