DR. ATINA LORENE SULLIVAN (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508351024
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ATINA LORENE SULLIVAN (NURSE PRACTITIONER)
6440 DOBBIN RD STE D
COLUMBIA, MD 210454770
Phone: (410) 730-2385
Type: Location
1202, Annapolis Road, Lions Gate Condominium, Villa Bella, Odenton, Anne Arundel County, Maryland, 21113, United States
ODENTON, MD 211131397
Phone: (410) 672-2862
Type: Location
8507 Oxon Hill Rd Ste 200
Fort Washington, MD 207444774
Phone: (301) 960-4505
Type: Location
3205, Dorstone Place, Upper Marlboro, Prince George's County, Maryland, 20774, United States
UPPER MARLBORO, MD 207748099
Phone: (301) 404-8851
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: 2018-08-28
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 |
|---|---|---|---|---|
| I20180828001601 | I | Nurse Practitioner | MD | 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 21045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD | |
| Mental Health Counselor | MD | |
| Clinical Social Worker | MD | |
| - | MD | |
| - | MD | |
| Clinical Social Worker | MD | |
| Mental Health Counselor | MD | |
| Clinical Social Worker | MD | |
| Clinical Social Worker | MD |
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