MR. BRIAN WADE PULLAM – Psychiatric/Mental Health Nurse Practitioner, NPI 1770121535
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. BRIAN WADE PULLAM
1723 PINE AVE
NICEVILLE, FL 325784600
Phone: (850) 368-4670
Fax: (850) 378-5237
Type: Mailing
1049 JOHN SIMS PKWY E
NICEVILLE, FL 325782754
Phone: (850) 368-4670
Fax: (850) 378-5237
Type: Location
4205 BELFORT RD STE 41015
JACKSONVILLE, FL 322161471
Phone: (904) 450-6014
Fax: (904) 450-6401
Type: Mailing
4451 BAYOU BLVD
PENSACOLA, FL 325032601
Phone: (850) 416-7619
Fax: (850) 416-7753
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $2,042.
Total Amount is formed as General ($2,042) + Research ($0) + Ownership ($0) = $2,042.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Exelixis Inc. ($158).
Total Amount
$2,042
General + Research + Ownership
Payments
95
Total payment records
General Amount
$2,042
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exelixis Inc. | $158 |
| IDORSIA PHARMACEUTICALS US INC | $140 |
| Celgene Corporation | $123 |
| Merck Sharp & Dohme LLC | $121 |
| GENZYME CORPORATION | $114 |
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: 2020-02-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200228001661 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 107 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 92 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 31 | 22 | $0 |
Insurance plans in this area (ZIP 32578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Clinical Social Worker | AL | |
| Nurse Practitioner | FL | |
| Psychiatry, Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | TN | |
| Nurse Practitioner | FL |
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