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SYLWIA MCCULLOUGH NP
NPI 1255800884
Nurse Practitioner - Family in Indiana, PA

Active since November 13, 2018PECOS EnrolledAccepts Medicare Assignment
901 MAPLE ST, INDIANA, PA 15705(724) 357-2255(724) 357-6212 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2023, Jul 30, 2023, Jan 20, 2022 and 5 more (8 updates tracked since 2018).

About Sylwia Mccullough Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYLWIA MCCULLOUGH NP (NPI 1255800884) is an individual family provider in Indiana, Pennsylvania, licensed in Pennsylvania (SP027060) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and maintains a secondary practice location in Indiana.

NPPES Registry Identity

NPI1255800884
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSYLWIA MCCULLOUGHCredential: NP
Location Address901 MAPLE STIndiana, PA 15705-7133
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Phone(724) 357-2255
Fax(724) 357-6212
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 13, 2018
Last NPPES UpdateApril 15, 20258 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1255800884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in PA · SP027060✔ Licensed in SC · 22383✔ Licensed in PA · NPPA055240
901 MAPLE ST, Indiana, PA 15705
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Secondary Practice Location 1

Location 1835 Hospital RdIndiana, PA 15701-3629 · Phone (724) 357-7121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Sylwia Mccullough Np 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.

PECOS PAC ID840535597
PECOS Enrollment IDI20230804003612
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Sylwia Mccullough reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Community Medicine Inc
0.7 mi
Cardiovascular Disease
1265 WAYNE AVE, SUITE 306
Indiana, PA 15701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1952609513 (724) 349-3233
Ahn Hospitalist Group, Ltd
30 mi
Internal Medicine
1301 CARLISLE ST
Natrona Heights, PA 15065
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 100 clinicians in this Medicare group
NPI 1770984304 (724) 224-5100
Brookville Hospital
38 mi
Multi-Specialty
100 HOSPITAL RD
Brookville, PA 15825
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 34 clinicians in this Medicare group
NPI 1578733093 (412) 788-4995
Dubois Regional Medical Center
40 mi
Family Medicine
100 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 65 clinicians in this Medicare group
NPI 1245410554 (814) 375-4090
Upmc Altoona
40 mi
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
NPI 1497831655 (814) 889-2223
Consonant Healing Medical Associates
159 mi
Surgery
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 147 clinicians in this Medicare group
NPI 1588122535 (301) 928-5012
Wound Healing Solutions Pennsylvania And Delaware LLC
223 mi
Nurse Practitioner
600 CLEMENTS BRIDGE RD
Barrington, NJ 08007
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 68 clinicians in this Medicare group
NPI 1306272075 (856) 547-8000
Roper Saint Francis Physicians Network
465 mi
Neurological Surgery
312 BROAD ST
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 658 clinicians in this Medicare group
NPI 1407097181 (843) 723-8823
University Medical Associates
539 mi
Multi-Specialty
1200 JOHNNIE DODDS BLVD
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
NPI 1437176039 (843) 792-1414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
144 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
76 services21 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
26 services24 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sylwia Mccullough's NPI number?

The NPI number for Sylwia Mccullough is 1255800884. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Sylwia Mccullough located?

Sylwia Mccullough practices at 901 Maple St, Indiana, PA 15705. The listed phone number is (724) 357-2255.

What is Sylwia Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sylwia Mccullough enrolled in Medicare?

Yes. Sylwia Mccullough 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 Sylwia Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylwia Mccullough reassigns Medicare benefits to 9 organizations: Upmc Community Medicine Inc (Indiana, PA), Ahn Hospitalist Group, Ltd (Natrona Heights, PA), Brookville Hospital (Brookville, PA), Dubois Regional Medical Center (Du Bois, PA), Upmc Altoona (Altoona, PA) and 4 more organizations, listed in the Medicare section above. 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 Sylwia Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sylwia Mccullough accept?

Health plans from First Choice Next list Sylwia Mccullough 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.

Is Sylwia Mccullough affiliated with any hospitals?

According to CMS data, Sylwia Mccullough is affiliated with Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sylwia Mccullough was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.