Stella Suzanne Culliver, ADULT PSYCH NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R857154 Issued in MS

Practice address

928 Nuuanu Ave Ste 202
Honolulu, HI 96817-5190

Phone

(808) 777-9460

Fax

(808) 217-9174

NPI assigned

Nov 23, 2011

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

Medicare fee-for-service enrollment

Enrolled in MS, HI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Billing, LLCGroup PAC ID 0648210831, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• MD Billing, LLC

  • Psychiatry Physician
  • Jackson, MS
  • NPI 1548474042
  Medicare reassignment Care Compare group NPD
• Hinds County Mental Health Comission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MS
  • NPI 1205853652
  Medicare reassignment NPD
• MDB Behavioral Health Services LLC

  • Rural Health Clinic/Center
  • Vicksburg, MS
  • NPI 1669835310
  Medicare reassignment NPD
• Minor Med Care, LLC

  • Primary Care Clinic/Center
  • Jackson, MS
  • NPI 1407968738
  Medicare reassignment NPD
• Mississippi State Hospital at Whitfield

  • Mental Illness Community Based Residential Treatment Facility
  • Jackson, MS
  • NPI 1336224179
  Medicare reassignment NPD
• George S Mackel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1891082376
  Medicare reassignment
• Ohanapsych

  • Rural Health Clinic/Center
  • Hilo, HI
  • NPI 1609732858
  NPD
• Minor Med Care, LLC

  • Rural Health Clinic/Center
  • Raymond, MS
  • NPI 1669575627
  NPD
• Mississippi State Hospital at Whitfield

  • Psychiatry Physician
  • Whitfield, MS
  • NPI 1497788715
  NPD
• George Mackel, Pmhnp-BC, LLC

  • Rural Health Clinic/Center
  • Hilo, HI
  • NPI 1184583585
  NPD (past)
• Beacon Behavioral of Mississippi, LLC

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1134962525
  NPD (past)
• Precise Psychopharmacology LLC

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1407053051
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1821365511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12034 BIG CANOE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435154",
            "telephone_number": "808-777-9460",
            "fax_number": "808-217-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE STE 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175190",
            "telephone_number": "808-777-9460",
            "fax_number": "808-217-9174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St Ste 450",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022000",
            "country_code": "US",
            "telephone_number": "601-957-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-573-3904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805187",
            "country_code": "US",
            "telephone_number": "601-883-0264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Bluecutt Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397051397",
            "country_code": "US",
            "telephone_number": "662-434-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLIVER",
        "first_name": "STELLA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "ADULT PSYCH NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R857154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cui and Lin Orthodontics, LLC
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• Chaelyn Cullen
• Ty Cullen
• Portia H Culp
• Culturalify
• Catherine Culver, P.T.
• Cameron M Cummings, M.D.
• Cristina Cummings, FNP

• Psychiatric/Mental Health Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
• 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.