SUNDERS DORCELY (ARNP) – Family Nurse Practitioner, NPI 1104333962

SUNDERS DORCELY (ARNP) is a healthcare provider. based in Springfield, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN2328389 (MA). The NPI Number for SUNDERS DORCELY (ARNP) is 1104333962

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SUNDERS DORCELY (ARNP)
NPI
1104333962
Phone
(413) 794-9560
Address
3400 MAIN ST
Enumeration Date
2 January 2018
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182984375
Graduation Year
2017 (9 years ago)
PAC ID
1850639006
Group Practice PAC ID
8628346731
Professional Enrollment ID
I20190927000025
Address ID
MA021084209BO44XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for SUNDERS DORCELY (ARNP)

  • 3400 MAIN ST

    SPRINGFIELD, MA 011071113

    Phone: (413) 794-9560

    Fax: (413) 794-5884

    Type: Location

  • 800, College Highway, Southwick, Hampden County, Massachusetts, 01077, United States

    SOUTHWICK, MA 010779690

    Phone: (413) 569-2257

    Fax: (413) 569-2264

    Type: Location

  • Chestnut Street, Spring Branch, Springfield, Effingham County, Georgia, 31329, United States

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    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: 2021-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190927000025INurse PractitionerMATBD
I20210907003221INurse PractitionerCTTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes604117$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5353$0
View full utilization report →

Insurance plans in this area (ZIP 01107)

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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: 8628346731View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerVT
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What federal number belongs to SUNDERS DORCELY (ARNP)?
The federal identifier for SUNDERS DORCELY (ARNP) is NPI 1104333962.
Is SUNDERS DORCELY (ARNP) active in the national directory?
SUNDERS DORCELY (ARNP)'s public NPI profile is in an active state.
What does SUNDERS DORCELY (ARNP) treat or focus on?
Patients typically see SUNDERS DORCELY (ARNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SUNDERS DORCELY (ARNP) practice in Massachusetts?
You will see Springfield, Massachusetts on file for SUNDERS DORCELY (ARNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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