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SUMERLYN PECKHAM APRN
NPI 1750013843
Nurse Practitioner - Family in Ormond Beach, FL

Active since June 27, 2022Opted out of Medicare · through May 22, 2027
722 S ATLANTIC AVE STE A, ORMOND BEACH, FL 32176(386) 267-0831(386) 267-0796 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Sep 22, 2022, Jul 7, 2022 (3 updates tracked since 2022).

About Sumerlyn Peckham Aprn NPPES

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

SUMERLYN PECKHAM APRN (NPI 1750013843) is an individual family provider in Ormond Beach, Florida, licensed in Florida (APRN11020408) and active in the NPI registry since June 2022. She has opted out of Medicare through May 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750013843
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUMERLYN PECKHAMCredential: APRN
Location Address722 S ATLANTIC AVE STE AOrmond Beach, FL 32176-7898
Mailing Address111 Kent DrOrmond Beach, FL 32176-7825 · (334) 714-8889
Phone(386) 267-0831
Fax(386) 267-0796
Sole ProprietorYes
Enumeration DateJune 27, 2022
Last NPPES UpdateApril 25, 20253 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1750013843 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
License✔ Licensed in FL · APRN11020408
722 S ATLANTIC AVE STE A, Ormond Beach, FL 32176
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sumerlyn Peckham Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2025 through May 22, 2027.

Opt-Out Effective DateMay 22, 2025
Opt-Out In Effect ThroughMay 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32176 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELINDA ROSE COOK APRN
Nurse Practitioner (Primary Care)
722 S ATLANTIC AVE STE A
ORMOND BEACH, FL 32176
Volusia County (386) 267-0831

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 Sumerlyn Peckham's NPI number?

The NPI number for Sumerlyn Peckham is 1750013843. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Sumerlyn Peckham located?

Sumerlyn Peckham practices at 722 S Atlantic Ave Ste A, Ormond Beach, FL 32176. The listed phone number is (386) 267-0831.

What is Sumerlyn Peckham's specialty?

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

Is Sumerlyn Peckham enrolled in Medicare?

No. Sumerlyn Peckham has opted out of Medicare through May 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sumerlyn Peckham was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.