MS. STACEY MIGLICCO SULLIVAN PMHNP-BC
NPI 1144597816
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX
About Ms. Stacey Miglicco Sullivan Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STACEY MIGLICCO SULLIVAN PMHNP-BC (NPI 1144597816) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (AP121225) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Stacey Miglicco Sullivan Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77058 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacey Sullivan's NPI number?
The NPI number for Stacey Sullivan is 1144597816. It was assigned to this individual provider in the NPPES registry on November 24, 2011.
Where is Stacey Sullivan located?
Stacey Sullivan practices at 1345 Space Park Dr, Houston, TX 77058. The listed phone number is (800) 685-9796.
What is Stacey Sullivan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stacey Sullivan enrolled in Medicare?
Yes. Stacey Sullivan is registered in the Medicare PECOS enrollment system.
What insurance does Stacey Sullivan accept?
Health plans from Blue Cross and Blue Shield of Texas list Stacey Sullivan 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 Stacey Sullivan was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Ms. Stacey Miglicco Sullivan, PMHNP-BC · NPI 1144597816
Psychiatric/Mental Health physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since November 24, 2011.
## Identity
- **NPI:** 1144597816 (Entity type: Individual)
- **Enumerated:** November 24, 2011
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP121225 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1345 SPACE PARK DR, Houston, TX 77058-3468
- **Phone:** (800) 685-9796
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144597816) · Data from the CMS NPPES public registry.