WAMAITHA SULLIVAN (FNP-BC) – Family Nurse Practitioner, NPI 1689908220
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for WAMAITHA SULLIVAN (FNP-BC)
819 Bloomington Rd
Champaign, IL 618202101
Phone: (217) 356-1558
Fax: (217) 356-1558
Type: Location
Gibson Area Hospital & Health Services, 1120, North Melvin Street, Gibson City, Ford County, Illinois, 60936, United States
GIBSON CITY, IL 609361477
Phone: (217) 379-4864
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $313.
Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($111).
Total Amount
$313
General + Research + Ownership
Payments
5
Total payment records
General Amount
$313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-01-23
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 |
|---|---|---|---|---|
| I20100123000161 | I | Nurse Practitioner | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Hospitalist, Internal Medicine | NC | |
| Family Practice, Emergency Medicine | NY | |
| Internal Medicine | NY | |
| Nurse Practitioner | TX | |
| Internal Medicine | FL | |
| Nurse Practitioner | IL | |
| Internal Medicine | PA | |
| Internal Medicine | TX | |
| Internal Medicine, Hospitalist, Internal Medicine | IL |
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