SABRA SULLIVAN (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366875437
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for SABRA SULLIVAN (PMHNP-BC)
90 UNDINE RD
APT. 1
BRIGHTON, MA 021353812
Phone: (508) 951-6632
Type: Mailing
103 MYRON ST
SUITE A
WEST SPRINGFIELD, MA 010891598
Phone: (413) 592-1980
Fax: (413) 439-0100
Type: Location
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.
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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: 2013-10-21
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 |
|---|---|---|---|---|
| I20131021000142 | I | Nurse Practitioner | MA | 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 02135)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 49 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Clinical Social Worker | MA | |
| Clinical Psychologist | MA | |
| Clinical Psychologist | MA | |
| Clinical Social Worker | MA | |
| - | MA | |
| Psychiatry, Geriatric Psychiatry | MA | |
| Clinical Psychologist | MA | |
| Clinical Psychologist | MA | |
| Clinical Psychologist | RI |
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