ROBERT EALY (APRN) – Family Nurse Practitioner, NPI 1720664048

ROBERT EALY (APRN) is a healthcare provider. based in Sullivan, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 71010957A (IN). The NPI Number for ROBERT EALY (APRN) is 1720664048

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT EALY (APRN)
NPI
1720664048
Phone
(812) 268-4311
Address
PO BOX 10
Enumeration Date
18 March 2021
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122684311
Graduation Year
2020 (6 years ago)
PAC ID
2567879158
Group Practice PAC ID
2466497482
Professional Enrollment ID
I20210326000976
Address ID
IN478024123TE4146XSTXX401

Contacts

Secure Messaging
robert.ealy.2@7598.direct.athenahealth.com
Secure Messaging
robert.ealy.1@8793.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for ROBERT EALY (APRN)

  • PO BOX 10

    SULLIVAN, IN 478820010

    Phone: (812) 268-4311

    Type: Mailing

  • 2120 N SECTION ST

    SULLIVAN, IN 478827518

    Phone: (812) 268-2556

    Type: Location

  • 1214 E National Ave Ste 100

    Brazil, IN 478342700

    Phone: (812) 442-2820

    Type: Location

  • 8635 Old Highway 41 South

    Carlisle, IN 478388234

    Phone: (812) 268-3318

    Type: Location

  • 4146 S 7th St Ste B

    Terre Haute, IN 478024123

    Phone: (812) 281-2243

    Type: Location

  • 1214 E NATIONAL AVE STE 100

    BRAZIL, IN 478342700

    Phone:

    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: 2021-03-26

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
I20210326000976INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes348227$0
99214Established patient office or other outpatient visit, 30-39 minutes11799$0
99212Established patient office or other outpatient visit, 10-19 minutes2121$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 47882)

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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: 2466497482View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Mental Health CounselorIN
Family PracticeIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Psychiatry, Internal Medicine, NeuropsychiatryGA
Family PracticeND
Pain ManagementOH

Reviews

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Frequently asked questions

How do payers reference ROBERT EALY (APRN)?
For ROBERT EALY (APRN), use NPI 1720664048 as the unique 10-digit identifier.
Would ROBERT EALY (APRN) appear as active to a payer?
You can treat ROBERT EALY (APRN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ROBERT EALY (APRN)?
ROBERT EALY (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT EALY (APRN)?
Travel planning: use Sullivan, Indiana as the reference point for ROBERT EALY (APRN), then confirm.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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