MRS. LYNSEY RENEE SULLIVAN (FNP) – Family Nurse Practitioner, NPI 1417492539
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for MRS. LYNSEY RENEE SULLIVAN (FNP)
1337 S SAM HOUSTON BLVD
HOUSTON, MO 654832046
Phone: (417) 967-5435
Fax: (417) 967-5503
Type: Mailing
2011, Catalina Drive, West Plains, Howell County, Missouri, 65775, United States
WEST PLAINS, MO 657752260
Phone: (417) 293-4271
Fax: (417) 256-4985
Type: Mailing
1100, North Kentucky Avenue, West Plains, Howell County, Missouri, 65775, United States
WEST PLAINS, MO 657752029
Phone: (417) 257-6789
Fax: (417) 257-5828
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($79).
Total Amount
$242
General + Research + Ownership
Payments
11
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $79 |
| Regeneron Healthcare Solutions, Inc. | $31 |
| Lilly USA, LLC | $30 |
| ABBVIE INC. | $29 |
| Dexcom, Inc. | $28 |
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: 2017-02-17
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 |
|---|---|---|---|---|
| I20170217001991 | I | Nurse Practitioner | MO | 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 65483)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO | |
| General Surgery | MO | |
| Family Practice | MO | |
| - | MO | |
| Family Practice | SD |
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