CYNTHIA EILEEN SULLIVAN (APRN) – Nurse Practitioner, NPI 1093034282

CYNTHIA EILEEN SULLIVAN (APRN) is a healthcare provider. based in Indian harbour beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP9435061 (FL). The NPI Number for CYNTHIA EILEEN SULLIVAN (APRN) is 1093034282

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA EILEEN SULLIVAN (APRN)
NPI
1093034282
Phone
(321) 361-5579
Address
216 E EAU GALLIE BLVD
Enumeration Date
27 May 2010
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217254500
Graduation Year
2009 (17 years ago)
PAC ID
1456475888
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20160928000649
Address ID
FL329012607ME1223XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for CYNTHIA EILEEN SULLIVAN (APRN)

  • 216 E EAU GALLIE BLVD

    INDIAN HARBOUR BEACH, FL 329374874

    Phone: (321) 361-5579

    Fax: (321) 434-3682

    Type: Location

  • 3466 N HARBOR CITY BLVD

    CREDENTIALS DEPT

    MELBOURNE, FL 329355713

    Phone: (321) 434-1982

    Fax: (321) 727-1448

    Type: Mailing

  • 205 E NASA BLVD

    MELBOURNE, FL 329011950

    Phone: (321) 723-9175

    Fax: (321) 727-1448

    Type: Location

  • 111 N Orange Ave Ste 800

    Orlando, FL 328012381

    Phone: (888) 731-8994

    Type: Location

  • 1220 N HIGHWAY A1A STE 147

    INDIALANTIC, FL 329032858

    Phone: (321) 984-1333

    Fax: (321) 951-9127

    Type: Location

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 361-5579

    Type: Mailing

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: 2016-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160928000649INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes278192$0
99213Established patient office or other outpatient visit, 20-29 minutes175109$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit147147$0
G0009Administration of pneumococcal vaccine2424$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and2320$0
View full utilization report →

Insurance plans in this area (ZIP 32937)

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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: 7416100672View full group profile
NameSpecialtyState
-FL
General SurgeryFL
Internal MedicineFL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does CYNTHIA EILEEN SULLIVAN (APRN) have a public NPI I can cite?
Public records show CYNTHIA EILEEN SULLIVAN (APRN) under NPI 1093034282.
Does the public listing show CYNTHIA EILEEN SULLIVAN (APRN) as active?
CYNTHIA EILEEN SULLIVAN (APRN)'s NPI record reflects an active status in NPPES.
What does the directory say CYNTHIA EILEEN SULLIVAN (APRN) does?
Insurance directories may phrase it differently, but here CYNTHIA EILEEN SULLIVAN (APRN) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CYNTHIA EILEEN SULLIVAN (APRN)?
CYNTHIA EILEEN SULLIVAN (APRN) is associated with Indian Harbour Beach, Florida in the same public data insurers reference.
Why is information missing for CYNTHIA EILEEN SULLIVAN (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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