Active NPI
Robert Henry Husemann Jr., PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G171205
- Practice address
- 1598 McPoland Ave
Dubuque, IA 52001-5521 - Phone
- (563) 580-1800
- NPI assigned
- Sep 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G171205 | IA | Primary |
Addresses
Primary practice location
1598 McPoland Ave
Dubuque, IA 52001-5521
Mailing address
3423 Crescent RDG
Dubuque, IA 52003-5234
Phone (563) 580-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884185848 | Other | IA | STATE OF IOWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1320 19TH Ave NW
Clinton, IA 52732-2752
Phone (563) 243-5633
1598 McPoland Ave
Dubuque, IA 52001-5521
Phone (563) 495-5448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G171205 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New View Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| Bridgeview Community Mental Health Center | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
849 13th Ave N
Clinton, IA 52732
Phone (563) 242-1521
1320 19th Ave NW
Clinton, IA 52732
Phone (563) 243-5633
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton, IA
- NPI 1073561882
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Dubuque, IA
- NPI 1720789449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1013639749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3423 CRESCENT RDG",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520035234",
"telephone_number": "563-580-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1598 MCPOLAND AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520015521",
"telephone_number": "563-580-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSEMANN",
"first_name": "ROBERT",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G171205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IOWA",
"identifier": "884185848",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.