DR. ANDRE JAWANN SULLIVAN (M.D.) – Professional Counselor, NPI 1023162559
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for DR. ANDRE JAWANN SULLIVAN (M.D.)
325 MDG, 340 MAGNOLIA CIRCLE
TYNDALL AFB, FL 32403
Phone: (703) 731-2566
Type: Mailing
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Phone: (208) 625-5084
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 19 Medicare enrollment records; no due dates published yet.
Enrollment records
19
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081211000676 | I | Psychiatry | TN | TBD |
| I20181219002884 | I | Psychiatry | TX | TBD |
| I20200626000827 | I | Psychiatry | MD | TBD |
| I20210324002622 | I | Psychiatry | DC | TBD |
| I20230207002892 | I | Psychiatry | ID | TBD |
| I20250113003614 | I | Psychiatry | FL | TBD |
| I20250204001435 | I | Neurology | CA | TBD |
| I20250204002568 | I | Psychiatry | NH | TBD |
| I20250319003181 | I | Psychiatry | MA | TBD |
| I20250404000535 | I | Psychiatry | PA | TBD |
| I20250404001819 | I | Psychiatry | VA | TBD |
| I20250424000222 | I | Psychiatry | NE | TBD |
| I20250502000446 | I | Psychiatry | NJ | TBD |
| I20250624003109 | I | Psychiatry | IL | TBD |
| I20251126000319 | I | Psychiatry | SC | TBD |
| I20251215001042 | I | Psychiatry | MI | TBD |
| I20260113002795 | I | Neurology | AL | TBD |
| I20260211001993 | I | Psychiatry | NC | TBD |
| I20260310002141 | I | Psychiatry | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 42 | 42 | $0 |
Insurance plans in this area (ZIP 32403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Infectious Disease, Internal Medicine | PA | |
| P S Y C H I A T R Y | CA | |
| N E U R O L O G Y | TX | |
| Internal Medicine, Nephrology | WI | |
| Internal Medicine | TX | |
| - | NY | |
| - | SC | |
| Hospitalist, Internal Medicine, Pulmonary Disease | SC | |
| Internal Medicine, Hospitalist | NE |
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