Stayce K. Sullivan
NPI 1770139123ActiveIndividual· Nurse Practitioner, Acute Care· San Rafael, CA
Nurse Practitioner, Acute Care with Omar Osman Practice, LLC, practicing in San Rafael, California. In 2024 Medicare paid $66,772 for 106 patients, and Part D covered 153 of their prescriptions, 82% of them generic.
Overview
| NPI | 1770139123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 12, 2019 |
| Last updated in NPPES | Aug 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 95012073 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 866 across 9 procedure codes |
| Paid by Medicare | $66,772 |
Part D prescriptions in 2024
| Prescriptions (claims) | 153 · 153 30-day fills |
|---|---|
| Patients | 32 |
| Total drug cost | $5,761 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Omar Osman Practice, LLCFresno, CA · 48 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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