COLBY KEITH SULLIVAN (ACNP) – Nurse Practitioner, NPI 1528613734
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for COLBY KEITH SULLIVAN (ACNP)
120, North 9th Avenue, Aragon, Pensacola, Escambia County, Florida, 32502, United States
PENSACOLA, FL 325048734
Phone: (850) 479-1805
Fax: (850) 479-1829
Type: Location
5149 N 9th Ave Ste 120
Pensacola, FL 325048734
Phone: (850) 479-1805
Fax: (850) 479-1829
Type: Location
5149 N 9TH AVE
PENSACOLA, FL 325048756
Phone: (850) 479-7200
Type: Location
PO BOX 11982
PENSACOLA, FL 325241982
Phone: (850) 479-1805
Fax: (850) 479-1829
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: 2019-09-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190918002257 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 261 | 139 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 175 | 101 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 32504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VT | |
| Internal Medicine | NY | |
| Pulmonary Disease, Internal Medicine | OK | |
| - | SC | |
| - | VA | |
| Pulmonary Disease, Critical Care (Intensivists) | GA | |
| Internal Medicine, Critical Care (Intensivists) | OR | |
| - | FL | |
| Internal Medicine | FL | |
| - | TN |
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