Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Marie Sullivan, APRN-CNP

Individual provider Primary Care Nurse Practitioner · NPI 1063255164

Lisa Marie Sullivan, APRN-CNP is a Nurse Practitioner in Yukon, Oklahoma. Qualified in 2024, 2 years ago. Practices with The Physicians Group, LLC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024

Practice location Address checks out

1491 Health Center Pkwy
Yukon, OK 73099-6492
Phone: (405) 806-2200
Fax: (405) 806-2207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 220736 (OK)

Record details

NPI number1063255164
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Physicians Group, Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at The Physicians Group, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 106 clinicians in the practice; 12 are shown here.

Other providers in Yukon