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LIBABATU SULLEY
NPI 1770362154
Nurse Practitioner - Family in Beltsville, MD

Active since September 26, 2023PECOS EnrolledAccepts Medicare Assignment
11212 BLACK FOOT CT, BELTSVILLE, MD 20705(240) 481-8228 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Libabatu Sulley NPPES

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

LIBABATU SULLEY (NPI 1770362154) is an individual family provider in Beltsville, Maryland, licensed in Maryland (R225746) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770362154
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIBABATU SULLEY
Location Address11212 BLACK FOOT CTBeltsville, MD 20705-1492
Mailing Address11212 Black Foot CtBeltsville, MD 20705-1492 · (240) 481-8228
Phone(240) 481-8228
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 9, 2023
✔ NPI 1770362154 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 MD · R225746
11212 BLACK FOOT CT, Beltsville, MD 20705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Libabatu Sulley 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 ID9739522947
PECOS Enrollment IDI20240214003430
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20705 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Libabatu Sulley's NPI number?

The NPI number for Libabatu Sulley is 1770362154. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Libabatu Sulley located?

Libabatu Sulley practices at 11212 Black Foot Ct, Beltsville, MD 20705. The listed phone number is (240) 481-8228.

What is Libabatu Sulley's specialty?

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

Is Libabatu Sulley enrolled in Medicare?

Yes. Libabatu Sulley 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.

When was this NPI record last updated?

The NPPES record for Libabatu Sulley was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.