STACY T SULLENBERGER PNP
NPI 1023355484
Nurse Practitioner - Pediatrics in Sidney, OH
About Stacy T Sullenberger Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY T SULLENBERGER PNP (NPI 1023355484) is an individual pediatrics provider in Sidney, Ohio, licensed in Ohio (APRN.CNP.14148) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and maintains 9 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 9
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacy T Sullenberger Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stacy Sullenberger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Hospital
- 165 clinicians in this Medicare group
Dayton, OH 45404
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
- 479 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45365 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIDNEY, OH 45365
SIDNEY, OH 45365
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacy Sullenberger's NPI number?
The NPI number for Stacy Sullenberger is 1023355484. It was assigned to this individual provider in the NPPES registry on January 4, 2013.
Where is Stacy Sullenberger located?
Stacy Sullenberger practices at 915 Michigan St, Sidney, OH 45365. The listed phone number is (937) 498-4488.
What is Stacy Sullenberger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Stacy Sullenberger enrolled in Medicare?
Yes. Stacy Sullenberger is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacy Sullenberger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Sullenberger reassigns Medicare benefits to 2 organizations: Dayton Children's Hospital (Dayton, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Sullenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Sullenberger accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Stacy Sullenberger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stacy Sullenberger was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacy T Sullenberger, PNP · NPI 1023355484
Pediatrics physician in Sidney, Ohio. Individual provider, active in the CMS NPPES registry since January 4, 2013.
## Identity
- **NPI:** 1023355484 (Entity type: Individual)
- **Enumerated:** January 4, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN.CNP.14148 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 915 MICHIGAN ST, Sidney, OH 45365-2401
- **Phone:** (937) 498-4488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dayton Children's Hospital (NPI 1548045503, Dayton, OH); Dayton Children's Specialty Physicians, Inc. (NPI 1225192610, Dayton, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2026
- **Other identifiers:** Medicaid 0330291 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1023355484) · Data from the CMS NPPES public registry.