Individual provider Active NPI

Anastasia Leigh Tusa, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Easton, MD
National Provider Identifier
1063777043
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R187655 Issued in MD
Practice address
8614 Ocean Gtwy
Ste 4
Easton, MD 21601-7217
Phone
(410) 690-8181
Fax
(410) 690-8185
NPI assigned
Jul 6, 2012
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R187655 MD Primary

Addresses

Primary practice location

8614 Ocean Gtwy
Ste 4
Easton, MD 21601-7217

Mailing address

8614 Ocean Gtwy
# 4
Easton, MD 21601-7217
Phone (410) 749-1015

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120827000575 MD Practitioner - Nurse Practitioner 5294982294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pivot Point Counseling, LLCGroup PAC ID 2567739170, 11 clinicians

Practice addresses (Care Compare)

4 C N Ave
Suite 423
Bel Air, MD 21014-2334
Phone (410) 449-4955

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Integrated Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Sep 14, 2021 Accepting new patients
Long Integrated Psychiatric Services LLC Psychiatric/Mental Health Current Accepting new patients
Pivot Point Counseling, LLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

4C North Ave
Ste 423
Bel Air, MD 21014
Phone (410) 449-4955

7652 Belair Rd
Ste A
Nottingham, MD 21236
Phone (410) 508-0722

Organizations & group practices 3

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1063777043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 OCEAN GTWY",
            "address_2": "# 4",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017217",
            "telephone_number": "410-749-1015",
            "fax_number": "410-749-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 OCEAN GTWY",
            "address_2": "STE 4",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017217",
            "telephone_number": "410-690-8181",
            "fax_number": "410-690-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSA",
        "first_name": "ANASTASIA",
        "middle_name": "LEIGH",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R187655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.