Mallory Paige Sullivan, APRN
NPI 1639800634ActiveIndividual· Nurse Practitioner· Panama City Beach, FL
Nurse Practitioner (APRN) with Privia Medical Group Florida LLC, practicing in Panama City Beach, Florida. Their prescriptions cost Medicare Part D more than their services did: $207,023 for 1,926 claims, against $1,518 paid for services in 2024. Novo Nordisk Inc was the largest of 11 companies reporting payments in 2025, $1,106 in all, mostly food and beverage. Lists Ascension Sacred Heart Bay and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1639800634 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jun 21, 2022 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11020277 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 28 across 11 procedure codes |
| Paid by Medicare | $1,518 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,926 · 4,509 30-day fills |
|---|---|
| Patients | 186 |
| Total drug cost | $207,023 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Privia Medical Group Florida LLCIndialantic, FL · 253 clinicians
Hospital affiliations
- Ascension Sacred Heart BayPanama City, FL
- HCA Florida Gulf Coast HospitalPanama City, FL
- Sacred Heart Hospital on the Emerald CoastMiramar Beach, FL
Industry payments (Open Payments)
- 2025$1,106 · 65 payments from 11 companies
- 2024$1,152 · 69 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $245.51 | 13 |
| Astrazeneca Pharmaceuticals LP | $235.59 | 14 |
| Abbvie Inc. | $205.24 | 15 |
| Lilly USA, LLC | $129.15 | 7 |
| Pfizer Inc. | $105.43 | 5 |
What the 2025 payments were for
- Food and Beverage$1,106 · 65 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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