Individual Healthcare Provider
Stacy T Sullenberger, PNP
Provider's NPPES record last updated: May 29, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023355484
- Primary Specialty
- Nurse Practitioner — Pediatrics
- Practice Location
- Sidney, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:18 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X
Provider-Reported License Information
- Nurse Practitioner (Ohio)
- APRN.CNP.14148
Practice Locations
Practice Location
915 Michigan St
Sidney, Ohio 45365-2401
Phone: (937) 498-4488
Additional Practice Location
792 Northwoods Blvd
Vandalia, Ohio 45377-9462
Phone: (937) 641-4236
Fax: (937) 641-4237
Additional Practice Location
4475 Far Hills Ave
Kettering, Ohio 45429-2405
Phone: (937) 641-3141
Fax: (937) 641-3190
Additional Practice Location
3301 Dayton Xenia Rd Ste 200
Beavercreek, Ohio 45432-2759
Phone: (937) 641-5098
Fax: (937) 912-9395
Additional Practice Location
662 N Main St
Springboro, Ohio 45066-9553
Phone: (937) 641-5066
Fax: (937) 550-9797
Additional Practice Location
8501 Old Troy Pike
Huber Heights, Ohio 45424-1054
Phone: (937) 641-4360
Fax: (937) 949-3791
Additional Practice Location
7787 Cox Ln
West Chester, Ohio 45069-6549
Phone: (937) 641-5757
Fax: (513) 847-1192
Additional Practice Location
1711 Germantown Pike
Dayton, Ohio 45417
Phone: (937) 641-3142
Fax: (937) 641-4172
Additional Practice Location
3333 W Tech Rd
Miamisburg, Ohio 45342-0955
Phone: (937) 641-5725
Fax: (937) 350-3050
Additional Practice Location
1 Childrens Plz
Dayton, Ohio 45404-1815
Phone: (937) 641-4000
Fax: (937) 641-4500
Record Information
- Enumeration Date
- January 4, 2013
- Provider's NPPES Record Last Updated
- May 29, 2026
- Certification Date
- May 29, 2026
- NPISignal NPPES Dataset
- August 2026
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