Nichole M Fusco, CPNP-AC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R218025 Issued in MD

Practice address

200 Forbes St Ste 200
Annapolis, MD 21401-1527

Phone

(301) 672-1842

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Emergency Service, PAGroup PAC ID 4486644598, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doctors Emergency Service, PA

  • Emergency Medicine Physician
  • Annapolis, MD
  • NPI 1528171840
  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment NPD
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba Jhu - Pediatrics/Cardiology

  • Pediatric Cardiology Physician
  • Baltimore, MD
  • NPI 1881694263
  NPD
• Trusted Doctors LLC

  • Pediatrics Physician
  • Edgewater, MD
  • NPI 1265298657
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Pasadena, MD
  • NPI 1336905710
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Chester, MD
  • NPI 1639935026
  NPD (past)
• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1083283857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 ALAMEDA PKWY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121411",
            "telephone_number": "301-672-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORBES ST STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011527",
            "telephone_number": "301-672-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "NICHOLE",
        "middle_name": "M",
        "credential": "CPNP-AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R218025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kimble Fuller, LCSW-C
• Winifred Frinue Fundoh
• Barbara T Furlow, M.D.
• Michael Furno
• Melanie Ridgway Furrer, CNM, MSPHN, RN
• Kiara Fyfield
• G Peter Pushkas M D, P C
• Amanda Gabbard
• Kathy B Gabriel, PHD
• Anthony Alexis De Guzman Gacayan, OTR/L

• Pediatric Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.