SUNNY GILLIAM (APRN, FNP-C) – Family Nurse Practitioner, NPI 1043947278

SUNNY GILLIAM (APRN, FNP-C) is a healthcare provider. based in Denton, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 1099678 (TX). The NPI Number for SUNNY GILLIAM (APRN, FNP-C) is 1043947278

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SUNNY GILLIAM (APRN, FNP-C)
NPI
1043947278
Phone
Not provided
Address
304 ADMINISTRATION DR.
Enumeration Date
8 August 2022
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2543134200
Graduation Year
2020 (6 years ago)
PAC ID
7214393032
Group Practice PAC ID
1153370242
Professional Enrollment ID
I20230522001992
Address ID
TX767072261WA1600XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SUNNY GILLIAM (APRN, FNP-C)

  • 304 ADMINISTRATION DR.

    DENTON, TX 76204

    Phone:

    Type: Mailing

  • 1600 PROVIDENCE DR

    WACO, TX 767072261

    Phone: (254) 313-4200

    Type: Mailing

  • 333 LONDONDERRY DR STE 200

    WACO, TX 767127930

    Phone: (254) 751-9777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($22).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-05-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230522001992INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76204)

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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: 1153370242View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Certified Nurse Midwife (Cnm)TX
-OK
Family PracticeTX
-TX
Family PracticeTX
Physician AssistantSC
Clinical Social WorkerTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for SUNNY GILLIAM (APRN, FNP-C) in U.S. healthcare records?
The official identifier for SUNNY GILLIAM (APRN, FNP-C) is NPI 1043947278.
Is SUNNY GILLIAM (APRN, FNP-C) still an active registrant?
SUNNY GILLIAM (APRN, FNP-C) carries an active NPI according to the public dataset.
What area of care is associated with SUNNY GILLIAM (APRN, FNP-C)?
SUNNY GILLIAM (APRN, FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is SUNNY GILLIAM (APRN, FNP-C) registered?
Use Denton, Texas as the headline location for SUNNY GILLIAM (APRN, FNP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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