DOUGLAS GARY JR. SUTCLIFFE (NP-C) – Family Nurse Practitioner, NPI 1205406063
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for DOUGLAS GARY JR. SUTCLIFFE (NP-C)
PO BOX 328
SOUTH RANGE, MI 499630328
Phone: (906) 364-1359
Type: Mailing
404 MAPLE ST
HURLEY, WI 545341147
Phone: (906) 364-0231
Type: Mailing
5409 VERN HOLMES DR
STEVENS POINT, WI 544828853
Phone: (715) 344-1600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($21).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $21 |
| Novo Nordisk Inc | $18 |
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: 2024-07-01
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 |
|---|---|---|---|---|
| I20240701000778 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 59 | 57 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 35 | 33 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 49963)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| C H I R O P R A C T I C | MN | |
| Nurse Practitioner | CO | |
| P O D I A T R Y | WI | |
| P O D I A T R Y | WI | |
| Pediatric Medicine, Internal Medicine | MI | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Mental Health Counselor | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.