STEPHANIE L SULLENDER (PA) – Physician Assistant, NPI 1437787066
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for STEPHANIE L SULLENDER (PA)
13504 STATE ROUTE 725
GERMANTOWN, OH 453279766
Phone: (937) 572-3068
Type: Mailing
830 SIM HODGIN PKWY
RICHMOND, IN 473741931
Phone: (765) 747-6090
Type: Mailing
3500 W PURDUE AVE
MUNCIE, IN 473046357
Phone: (765) 747-6090
Fax: (765) 747-5069
Type: Location
830 Sim Hodgin Pkwy
Richmond, IN 473741931
Phone: (765) 747-6090
Fax: (765) 747-5069
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $393.
Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Merz North America, Inc. ($154).
Total Amount
$393
General + Research + Ownership
Payments
16
Total payment records
General Amount
$393
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200812002895 | I | Physician Assistant | IN | TBD |
| I20220325002233 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 905 | 232 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 565 | 447 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 490 | 380 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 201 | 170 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 191 | 177 | $0 |
Insurance plans in this area (ZIP 45327)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | IN | |
| D E R M A T O L O G Y | IN | |
| Radiation Oncology | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | NY | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | IN | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | IN |
Reviews
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