PATRICIA ANN SULLIVAN-LIEBIG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073627980

PATRICIA ANN SULLIVAN-LIEBIG (CRNA) is a healthcare provider. based in Melbourne, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP1717682 (FL). The NPI Number for PATRICIA ANN SULLIVAN-LIEBIG (CRNA) is 1073627980

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA ANN SULLIVAN-LIEBIG (CRNA)
NPI
1073627980
Phone
(321) 863-6531
Address
282 OAK HAVEN DR
Enumeration Date
18 August 2006
Last Update Date
25 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217521200
Graduation Year
1982 (44 years ago)
PAC ID
9739230236
Group Practice PAC ID
3577477314
Professional Enrollment ID
I20100331000057
Address ID
FL329358625ME250XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for PATRICIA ANN SULLIVAN-LIEBIG (CRNA)

  • 282 OAK HAVEN DR

    MELBOURNE, FL 329401810

    Phone: (321) 863-6531

    Fax: (321) 254-6196

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($162).

Total Amount

$162

General + Research + Ownership

Payments

6

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$162
View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090623000545ICertified Registered Nurse Anesthetist (Crna)MATBD
I20100331000057ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement5656$0
01214Anesthesia for total hip replacement3333$0
View full utilization report →

Insurance plans in this area (ZIP 32940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577477314View full group profile
NameSpecialtyState
-FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Does PATRICIA ANN SULLIVAN-LIEBIG (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PATRICIA ANN SULLIVAN-LIEBIG (CRNA) uses 1073627980.
Does CMS list PATRICIA ANN SULLIVAN-LIEBIG (CRNA) as active?
Yes — PATRICIA ANN SULLIVAN-LIEBIG (CRNA) is active in the NPI listing used on this page.
What is PATRICIA ANN SULLIVAN-LIEBIG (CRNA)'s specialty?
The listing groups PATRICIA ANN SULLIVAN-LIEBIG (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for PATRICIA ANN SULLIVAN-LIEBIG (CRNA)?
PATRICIA ANN SULLIVAN-LIEBIG (CRNA)'s geographic hint is Melbourne, Florida in our summary view.
Is the information about PATRICIA ANN SULLIVAN-LIEBIG (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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