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Stacy T Sullenberger , PNP

Nurse Practitioner - Pediatrics • Sidney, OH

Active NPI 1023355484 Individual Practitioner Female Practitioner
Practice location in NPPES

915 Michigan St
Sidney, OH 453652401

Call 9374984488 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

915 Michigan St

Sidney, OH 453652401

Telephone 9374984488
Organization at the Same NPPES Address or Phone
Shelby County Memorial Hospital Association Inc. Facility NPI 1639174204

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 9 distinct additional practice-address records in Beavercreek, OH; Dayton, OH; Huber Heights, OH and 5 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $15.54 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacy Sullenberger has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacy Sullenberger as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sidney and Ohio

4 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Sidney, OH (1,092 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $15.54.

Manufacturer Payment Nature Product Type Amount ($)
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
M-M-R II General $15.54

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-29
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES OH APRN.CNP.14148
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0330291 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20210416000922

Enrollment State Jurisdiction

OH

PECOS Control ID

7315355161

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

792 Northwoods Blvd

Vandalia, OH 453779462

Phone: 9376414236

4475 Far Hills Ave

Kettering, OH 454292405

Phone: 9376413141

3301 Dayton Xenia Rd Ste 200

Beavercreek, OH 454322759

Phone: 9376415098

662 N Main St

Springboro, OH 450669553

Phone: 9376415066

8501 Old Troy Pike

Huber Heights, OH 454241054

Phone: 9376414360

7787 Cox Ln

West Chester, OH 450696549

Phone: 9376415757

1711 Germantown Pike

Dayton, OH 45417

Phone: 9376413142

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376415725

1 Childrens Plz

Dayton, OH 454041815

Phone: 9376414000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
NPI 1245943471

Advanced Practice Registered Nurse, Certified Nurse Midwife, Family Nurse Practitioner (Certified)

Lori Brown , CNP

Nurse Practitioner - Women's Health

NPI 1790887271

Certified Nurse Practitioner

Megan Greve , CNP

Nurse Practitioner - Family

NPI 1295188233

Certified Nurse Practitioner

NPI 1952780371

Doctor of Medicine (M.D.)

Tammie Kelton , APRN

Nurse Practitioner - Family

NPI 1467946780

Advanced Practice Registered Nurse

Kristie Lambert , CNP

Nurse Practitioner - Adult Health

NPI 1295014629

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
📍
Updated Business Mailing Address February 12, 2026

Registered at PO BOX 933421, CLEVELAND, OH 441930039 (Tel: 9376415072)

📍
Updated Practice Location July 29, 2025

Registered at 915 MICHIGAN ST, SIDNEY, OH 453652401 (Tel: 9374984488)

📍
Updated Practice Location January 05, 2021

Registered at 662 N MAIN ST, SPRINGBORO, OH 450669553 (Tel: 9376415066)

📍
Updated Business Mailing Address January 05, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413555)

👤
Provider Name / Credentials Updated January 05, 2021

Recorded as STACY SULLENBERGER, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2021

Nurse Practitioner (license number reported to NPPES: OH APRN.CNP.14148)

📍
Updated Practice Location August 09, 2019

Registered at 662 N MAIN ST, SPRINGBORO, OH 45066 (Tel: 9376413000)

📍
Updated Business Mailing Address August 09, 2019

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413000)

✅
NPI Profile Active January 08, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 08, 2013

Registered at 1483 W MAIN ST, TIPP CITY, OH 453712803 (Tel: 9376678067)

📍
Business Mailing Address (Initial Record) January 08, 2013

Registered at 1483 W MAIN ST, TIPP CITY, OH 453712803

👤
Provider Name / Credentials (Initial Record) January 08, 2013

Recorded as STACY SULLENBERGER, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2013

Nurse Practitioner (license number reported to NPPES: OH 14148 NP)

🟢
Initial NPI Registration & Enumeration January 04, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023355484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2013
Last Update: May 29, 2026
Sole Proprietor: No

Mailing Address

Po Box 933421

Cleveland, OH 441930039

Phone: 9376415072

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.