Stacy T Sullenberger , PNP
Nurse Practitioner - Pediatrics • Sidney, OH
Professional Overview & Biography Verified Profile Summary
Stacy Sullenberger, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Sidney, OH. Practice services are available at 915 MICHIGAN ST under active NPI credentials.
Practice Location & Contact Primary Location
915 Michigan St
Sidney, OH 453652401
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner - Pediatrics in Sidney, OH
Practicing in Sidney, OH (1102 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-05-29NUCC Taxonomy Code: 363LP0200X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
792 Northwoods Blvd
Vandalia, OH 453779462
Phone: 9376414236
4475 Far Hills Ave
Kettering, OH 454292405
Phone: 9376413141
3301 Dayton Xenia Rd Ste 200
Beavercreek, OH 454322759
Phone: 9376415098
662 N Main St
Springboro, OH 450669553
Phone: 9376415066
8501 Old Troy Pike
Huber Heights, OH 454241054
Phone: 9376414360
7787 Cox Ln
West Chester, OH 450696549
Phone: 9376415757
1711 Germantown Pike
Dayton, OH 45417
Phone: 9376413142
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: 9376415725
1 Childrens Plz
Dayton, OH 454041815
Phone: 9376414000
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist/Technologist - Athletic Trainer
Nurse Practitioner - Family
PHDRNAGACNPBCNPC
Surgery
Doctor of Osteopathic Medicine (D.O.)
Optometrist
Doctor of Optometry
Pharmacist
Registered Pharmacist
Specialist/Technologist - Athletic Trainer
Certified Athletic Trainer
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at PO BOX 933421, CLEVELAND, OH 441930039 (Tel: 9376415072)
Registered at 915 MICHIGAN ST, SIDNEY, OH 453652401 (Tel: 9374984488)
Registered at 662 N MAIN ST, SPRINGBORO, OH 450669553 (Tel: 9376415066)
Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413555)
Recorded as STACY SULLENBERGER, PNP
Nurse Practitioner (License #APRN.CNP.14148 in OH)
Registered at 662 N MAIN ST, SPRINGBORO, OH 45066 (Tel: 9376413000)
Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413000)
NPI status registered as active in NPPES database
Registered at 1483 W MAIN ST, TIPP CITY, OH 453712803 (Tel: 9376678067)
Registered at 1483 W MAIN ST, TIPP CITY, OH 453712803
Recorded as STACY SULLENBERGER, CNP
Nurse Practitioner (License #14148 NP in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 933421
Cleveland, OH 441930039
Phone: 9376415072
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