EBONY CASSANDRA SUDDUTH DNP, PMHNP-BC
NPI 1174497721
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO
About Ebony Cassandra Sudduth Dnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY CASSANDRA SUDDUTH DNP, PMHNP-BC (NPI 1174497721) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2025041043) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ebony Cassandra Sudduth Dnp, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Ebony Sudduth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63111
- Reassigned Medicare billing, Missouri enrollment
- 55 clinicians in this Medicare group
Saint Charles, MO 63304
- Reassigned Medicare billing, Missouri enrollment
- 28 clinicians in this Medicare group
Lees Summit, MO 64081
- Reassigned Medicare billing, Missouri enrollment
- 183 clinicians in this Medicare group
Lees Summit, MO 64081
- Reassigned Medicare billing, Missouri enrollment
- 218 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 63118 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63118
SAINT LOUIS, MO 63118
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 Ebony Sudduth's NPI number?
The NPI number for Ebony Sudduth is 1174497721. It was assigned to this individual provider in the NPPES registry on October 6, 2025.
Where is Ebony Sudduth located?
Ebony Sudduth practices at 3824 S Grand Blvd, Saint Louis, MO 63118. The listed phone number is (314) 814-8180.
What is Ebony Sudduth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ebony Sudduth enrolled in Medicare?
Yes. Ebony Sudduth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ebony Sudduth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Sudduth reassigns Medicare benefits to 4 organizations: Family Care Health Centers (Saint Louis, MO), Little Hills Healthcare, LLC (Saint Charles, MO), Ch Specialty Services Mo LLC (Lees Summit, MO) and Curana Health Of Missouri-Kansas LLC (Lees Summit, MO). 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 Ebony Sudduth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ebony Sudduth accept?
Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Ebony Sudduth 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 Ebony Sudduth was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ebony Cassandra Sudduth, DNP, PMHNP-BC · NPI 1174497721
Psychiatric/Mental Health physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since October 6, 2025.
## Identity
- **NPI:** 1174497721 (Entity type: Individual)
- **Enumerated:** October 6, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2025041043 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3824 S GRAND BLVD, Saint Louis, MO 63118-3412
- **Phone:** (314) 814-8180
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Care Health Centers (NPI 1508867508, Saint Louis, MO); Little Hills Healthcare, LLC (NPI 1659364206, Saint Charles, MO); Ch Specialty Services Mo LLC (NPI 1194422253, Lees Summit, MO); Curana Health Of Missouri-Kansas LLC (NPI 1306165337, Lees Summit, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1174497721) · Data from the CMS NPPES public registry.