MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1821365511

MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP) is a healthcare provider. based in Jackson, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials ADULT PSYCH NP. They hold a License No. R857154 (MS). The NPI Number for MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP) is 1821365511

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP)
NPI
1821365511
Phone
(601) 957-7343
Address
1200 N State St Ste 450
Enumeration Date
23 November 2011
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6019519863
Graduation Year
2011 (15 years ago)
PAC ID
1658547815
Group Practice PAC ID
0648210831
Professional Enrollment ID
I20120110000574
Address ID
MS390479023BR557XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP)

  • 1200 N State St Ste 450

    Jackson, MS 392022000

    Phone: (601) 957-7343

    Type: Location

  • 146 GRANDEUR DR

    BRANDON, MS 390425015

    Phone: (601) 573-3904

    Type: Mailing

  • 969 LAKELAND DR

    JACKSON, MS 392164606

    Phone: (601) 573-3904

    Type: Location

  • 1000 URBAN CENTER DR STE 600

    VESTAVIA, AL 352422584

    Phone: (205) 208-9312

    Fax: (205) 848-2227

    Type: Mailing

  • 1200 N STATE ST STE 450

    JACKSON, MS 392022000

    Phone: (601) 957-7343

    Type: Location

  • 928 NUUANU AVE STE 202

    HONOLULU, HI 968175190

    Phone: (808) 777-9460

    Fax: (808) 217-9174

    Type: Location

  • 3600 Bluecutt Rd Ste 201

    Columbus, MS 397051397

    Phone: (662) 434-4210

    Type: Location

  • 1 Medical Plaza Dr

    Vicksburg, MS 391805187

    Phone: (601) 883-0264

    Type: Location

  • 969 Lakeland Dr

    Jackson, MS 392164606

    Phone: (601) 573-3904

    Type: Location

  • 12034 BIG CANOE

    BIG CANOE, GA 301435154

    Phone: (808) 777-9460

    Fax: (808) 217-9174

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $309.

Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$309

General + Research + Ownership

Payments

13

Total payment records

General Amount

$309

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-25

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
I20120110000574INurse PractitionerMSTBD
I20240225000114INurse PractitionerHITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes26768$0
99214Established patient office or other outpatient visit, 30-39 minutes3018$0
90792Psychiatric diagnostic evaluation with medical services1515$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 39202)

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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: 0648210831View full group profile
NameSpecialtyState
Nurse PractitionerLA
Nurse PractitionerMS
-MS

Reviews

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Frequently asked questions

Where can patients find MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP)'s NPI?
You can confirm MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP) with NPI 1821365511; it appears in the national provider directory.
Is MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP)'s NPI currently valid?
The extract we use shows MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP) as active.
What kind of provider is MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP). Clinical services aligned with this taxonomy classification.
Where is MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP)'s primary listing?
We display Jackson, Mississippi because that is what the record indicates for MRS. STELLA SUZANNE CULLIVER (ADULT PSYCH NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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