DANIEL ADAM NUNNELLY – Critical Care Medicine Nurse Practitioner, NPI 1215400189

DANIEL ADAM NUNNELLY is a healthcare provider. based in Brandon, Florida. specializing in NURSE PRACTITIONER. They hold a License No. RN9391610 (FL). The NPI Number for DANIEL ADAM NUNNELLY is 1215400189

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL ADAM NUNNELLY
NPI
1215400189
Phone
(813) 389-4243
Address
3002 ROSEBUD LN
Enumeration Date
3 January 2019
Last Update Date
20 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138444396
Graduation Year
2018 (8 years ago)
PAC ID
4587904156
Group Practice PAC ID
5092628156
Professional Enrollment ID
I20190318001455
Address ID
FL336063571TA1XXXXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for DANIEL ADAM NUNNELLY

  • 3002, Rosebud Lane, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335117540

    Phone: (813) 389-4243

    Type: Mailing

  • Tampa General Circle, Harbour Island, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336063571

    Phone: (813) 844-4434

    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: 2019-03-18

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
I20190318001455INurse 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
99291Critical care, first 30-74 minutes11364$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5543$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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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: 5092628156View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DANIEL ADAM NUNNELLY in U.S. healthcare records?
The official identifier for DANIEL ADAM NUNNELLY is NPI 1215400189.
Is there an active status for DANIEL ADAM NUNNELLY?
For scheduling context, DANIEL ADAM NUNNELLY is shown as active in the registry.
What kind of doctor is DANIEL ADAM NUNNELLY?
DANIEL ADAM NUNNELLY is associated with Critical Care Medicine Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is DANIEL ADAM NUNNELLY registered?
Use Brandon, Florida as the headline location for DANIEL ADAM NUNNELLY here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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