Active NPI
Berrien W Sutton, N.P.
- Gerontology Nurse Practitioner
- Pineland, FL
National Provider Identifier
1487621843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APN0000008322
- Practice address
- PO Box 360
Pineland, FL 33945-0360 - Phone
- (615) 948-7662
- NPI assigned
- Mar 3, 2006
- Last updated
- May 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN0000008322 | TN | |
| Gerontology Nurse Practitioner | 363LG0600X | APN0000008322 | TN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN0000008322 | TN |
Addresses
Primary practice location
PO Box 360
Pineland, FL 33945-0360
Mailing address
PO Box 360
Pineland, FL 33945-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I503726 | Other | TN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060706000310 | TN | Practitioner - Nurse Practitioner | 7517979735 | Practice locations: Manchester, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000008322 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gerontology Nurse Practitioner
- Nashville, TN
- NPI 1598950222
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748044800000",
"number": "1487621843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "PINELAND",
"state": "FL",
"postal_code": "339450360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "PINELAND",
"state": "FL",
"postal_code": "339450360",
"telephone_number": "615-948-7662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "BERRIEN",
"middle_name": "W",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2025-05-24",
"certification_date": "2025-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "APN0000008322",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "APN0000008322",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN0000008322",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I503726",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pineland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.