Wamaitha Sullivan is a Gibson City, Illinois based nurse practitioner with 16 years of experience in Psych/Mental Health. She completed her graduation in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Wamaitha Sullivan is 277000092 for Family in Illinois. Her current practice location is 1120 N Melvin St, Gibson City. Patients can reach her at 217-379-4864. Wamaitha Sullivan is FNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1689908220. Wamaitha Sullivan provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Wamaitha Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Wamaitha Sullivan
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
FNP-BC
Experience:
16+ years
Medical School Attended:
Other
Graduation Year:
2009
Accepts Medicare Assignment:
Yes
Practice Address:
1120 N Melvin St, Gibson City, Illinois, 60936-1477
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0143362566
Enrollment ID:
I20100123000161
NPI Number:
1689908220
NPI Enumeration Date:
30 Sep, 2009
NPI Last Update On:
04 Jun, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wamaitha Sullivan are as mentioned below.
License Number
Specialization
State
Status
277000092
Family
Illinois
Primary
209007740
Psych/Mental Health
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(141317)
Gibson city, IL
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Wamaitha Sullivan is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Gibson Community Hospital Association (5092703124)
98
Other Medical Identifiers:
Other legacy medical identifiers associated with Wamaitha Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
370647938007
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Wamaitha Sullivan 1120 N Melvin St, Gibson City, Illinois
Zip:
60936-1477
Phone Number:
217-379-4864
Patients can reach Wamaitha Sullivan at 1120 N Melvin St, Gibson City, Illinois or can call to book an appointment on 217-379-4864.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.