Individual provider Active NPI

Talin Cusato, FNP-C

  • Family Nurse Practitioner
  • Willis, TX
National Provider Identifier
1013544550
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
908782 Issued in TX
Practice address
12189 Thompson Rd
Willis, TX 77318-7564
Phone
(240) 481-4446
NPI assigned
Mar 25, 2020
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 908782 TX Primary

Addresses

Primary practice location

12189 Thompson Rd
Willis, TX 77318-7564

Mailing address

12189 Thompson Rd
Willis, TX 77318-7564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000232 TX Practitioner - Nurse Practitioner 3072923713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

10140 Hwy 242
Conroe, TX 77385-4386
Phone (936) 286-6196

2168 Spring Stuebner Rd
Suite 270
Spring, TX 77389-5309
Phone (346) 478-1976

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

813 W Montgomery St
Suite 300
Willis, TX 77378-8683
Phone (936) 249-6271

9595 Six Pines Dr
Suite 1400
The Woodlands, TX 77380-1535
Phone (346) 478-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
908782TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care TX PLLC CurrentSince Apr 11, 2022 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Apr 11, 2022 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Aug 5, 2021 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Houston Medical Care, PA PastSince Aug 5, 2021 Accepting new patients
Doctors Urgent Care LLC Past Accepting new patients

Locations

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25054/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1013544550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12189 THOMPSON RD",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773187564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12189 THOMPSON RD",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773187564",
            "telephone_number": "240-481-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSATO",
        "first_name": "TALIN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "908782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

Verify at the official NPI Registry.