Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colby Keith Sullivan, ACNP

Individual provider Nurse Practitioner · NPI 1528613734

Colby Keith Sullivan, ACNP is a Nurse Practitioner in Pensacola, Florida. Qualified in 2019, 7 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

5149 N 9th Ave
Pensacola, FL 32504-8756
Phone: (850) 479-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 — (850) 479-1805

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11002698 (FL)

Record details

NPI number1528613734
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESJanuary 4, 2022
Certification dateMarch 12, 2021
Mailing addressPo Box 11982, Pensacola, FL 32524-1982

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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