Patricia Ann Sullivan-Liebig, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP1717682 Issued in FL

Practice address

282 Oak Haven Dr
Melbourne, FL 32940-1810

Phone

(321) 863-6531

Fax

(321) 254-6196

NPI assigned

Aug 18, 2006

Last updated

Apr 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Patricia Ann Sullivan Former name

Medicare fee-for-service enrollment

Enrolled in MA, FL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Brevard Anesthesiologists PAGroup PAC ID 3577477314, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Brevard Anesthesiologists, PA

  • Anesthesiology Physician
  • Rockledge, FL
  • NPI 1205875671

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Narragansett Bay Anesthesia, LLC

  • Anesthesiology Physician
  • Warwick, RI
  • NPI 1861445728

  MA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Anesthesiology Physician
  • Fall River, MA
  • NPI 1043711914

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Ambulatory Surgery Center Support Services

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1902857642
  NPD (past)
• Brevard Anesthesia Services PA

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1699881664

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Melbourne Anesthesia, P.a.

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1184648792
  NPD (past)
• The Stingl Family Foundation, Inc

  dba Stingl Eye Clinic

  • Clinic/Center
  • Melbourne, FL
  • NPI 1548629108
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohmh, LLC

  dba Orlando Health Melbourne Hospital

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1033937883
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1073627980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 OAK HAVEN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401810",
            "telephone_number": "321-863-6531",
            "fax_number": "321-254-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 OAK HAVEN DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401810",
            "telephone_number": "321-863-6531",
            "fax_number": "321-254-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-LIEBIG",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1717682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "G0636",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "430000819",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302046100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SULLIVAN",
            "middle_name": "ANN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fernando Suico, PT
• Rebecca Suiters, PA-C
• Leonard Sukienik, D.O.
• Sullivan Sinus and Allergy, LLC
• Sullivan Speech-Language Pathology Services, LLC
• Daniel P Sullivan, MD
• Mark Ashley Sullivan, RN
• Andrew Sulser
• Suncoast Pathology Associates Inc
• Sundiaz Home Care Professionals LLC

• Certified Registered Nurse Anesthetist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.