NELL SUNDRA
NPI 1457002529
Counselor - Mental Health in Sullivan, IL
About Nell Sundra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NELL SUNDRA (NPI 1457002529) is an individual mental health provider in Sullivan, Illinois and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nell Sundra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nell Sundra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80903
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Spring Eop PC
- 8 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.
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.
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 Nell Sundra's NPI number?
The NPI number for Nell Sundra is 1457002529. It was assigned to this individual provider in the NPPES registry on January 11, 2022.
Where is Nell Sundra located?
Nell Sundra practices at 12 W Harrison St, Sullivan, IL 61951. The listed phone number is (217) 728-4358.
What is Nell Sundra's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nell Sundra enrolled in Medicare?
Yes. Nell Sundra is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nell Sundra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nell Sundra reassigns Medicare benefits to Spring Eop P.C. (Colorado Springs, CO). The 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 Nell Sundra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nell Sundra was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Nell Sundra · NPI 1457002529
Mental Health provider in Sullivan, Illinois. Individual provider, active in the CMS NPPES registry since January 11, 2022.
## Identity
- **NPI:** 1457002529 (Entity type: Individual)
- **Enumerated:** January 11, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 12 W HARRISON ST, Sullivan, IL 61951-1907
- **Phone:** (217) 728-4358
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Spring Eop P.C. (NPI 1720915796, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457002529) · Data from the CMS NPPES public registry.