REBECCA LYNN SULACK APRN
NPI 1669090296
Nurse Practitioner - Family in Niceville, FL
About Rebecca Lynn Sulack Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA LYNN SULACK APRN (NPI 1669090296) is an individual family provider in Niceville, Florida, licensed in Florida (11008673) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebecca Lynn Sulack Aprn 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 32578 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 Rebecca Sulack's NPI number?
The NPI number for Rebecca Sulack is 1669090296. It was assigned to this individual provider in the NPPES registry on July 9, 2020.
Where is Rebecca Sulack located?
Rebecca Sulack practices at 1001 College Blvd W Ste B1, Niceville, FL 32578. The listed phone number is (850) 252-4303.
What is Rebecca Sulack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rebecca Sulack enrolled in Medicare?
Yes. Rebecca Sulack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rebecca Sulack was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Rebecca Lynn Sulack, APRN · NPI 1669090296
Family physician in Niceville, Florida. Individual provider, active in the CMS NPPES registry since July 9, 2020.
## Identity
- **NPI:** 1669090296 (Entity type: Individual)
- **Enumerated:** July 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11008673 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 COLLEGE BLVD W STE B1, Niceville, FL 32578-1049
- **Phone:** (850) 252-4303
## 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:** June 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669090296) · Data from the CMS NPPES public registry.