CLIFFORD EDWARD IV O'SULLIVAN (APRN) – Family Nurse Practitioner, NPI 1306568795
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
Provider Addresses for CLIFFORD EDWARD IV O'SULLIVAN (APRN)
1411 W Baddour Pkwy
Lebanon, TN 370872513
Phone: (818) 415-0040
Type: Location
3020 OLD HILLSBORO RD UNIT A
FRANKLIN, TN 370649542
Phone: (818) 415-0040
Type: Mailing
1411 W BADDOUR PKWY
LEBANON, TN 370872513
Phone: (818) 415-0040
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 322-5000
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372322513
Phone: (615) 322-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-02-21
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 |
|---|---|---|---|---|
| I20240221003165 | I | Nurse Practitioner | OR | 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 37087)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OR | |
| Emergency Medicine | RI | |
| - | OR | |
| Emergency Medicine | NM | |
| Emergency Medicine | NC | |
| Emergency Medicine | CO | |
| - | ND | |
| Emergency Medicine | OR | |
| Emergency Medicine | CO | |
| Emergency Medicine | OR |
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.