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LORI SULLIVAN APRN
NPI 1902566920
Nurse Practitioner - Family in Palm Bay, FL

Active since December 20, 2021PECOS Enrolled
458 TREEMONT AVE SW, PALM BAY, FL 32908(386) 871-1726 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2022, Dec 20, 2021 (2 updates tracked since 2021).

About Lori Sullivan Aprn NPPES

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

LORI SULLIVAN APRN (NPI 1902566920) is an individual family provider in Palm Bay, Florida, licensed in Florida (F09210413) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902566920
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI SULLIVANCredential: APRN
Location Address458 TREEMONT AVE SWPalm Bay, FL 32908-3535
Mailing Address458 Treemont Ave SwPalm Bay, FL 32908-3535 · (386) 871-1726
Phone(386) 871-1726
Sole ProprietorNo
Enumeration DateDecember 20, 2021
Last NPPES UpdateJanuary 8, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2022
✔ NPI 1902566920 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 · F09210413
458 TREEMONT AVE SW, Palm Bay, FL 32908
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Sullivan Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Lori Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest University Health Sciences
542 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255
Theoria Medical
1,011 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Arizona, Indiana, Kentucky, Michigan, Montana, North Carolina, New Hampshire, Tennessee, Texas and Wisconsin enrollments
  • 22 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32908 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.

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 Lori Sullivan's NPI number?

The NPI number for Lori Sullivan is 1902566920. It was assigned to this individual provider in the NPPES registry on December 20, 2021.

Where is Lori Sullivan located?

Lori Sullivan practices at 458 Treemont Ave SW, Palm Bay, FL 32908. The listed phone number is (386) 871-1726.

What is Lori Sullivan's specialty?

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

Is Lori Sullivan enrolled in Medicare?

Yes. Lori Sullivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lori Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Sullivan reassigns Medicare benefits to 2 organizations: Wake Forest University Health Sciences (Lexington, NC) and Theoria Medical (Novi, MI). 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 Lori Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Sullivan accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Lori Sullivan 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.

When was this NPI record last updated?

The NPPES record for Lori Sullivan was last updated on January 8, 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.