Individual provider Active NPI

Cynthia Crawford Fussell, APRN

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1194916163
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO3602 Issued in LA
Practice address
9938 Airline Hwy
Baton Rouge, LA 70816-8100
Phone
(225) 663-2881
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 APO3602 LA Primary

Addresses

Primary practice location

9938 Airline Hwy
Baton Rouge, LA 70816-8100

Mailing address

19153 Country Club LN
Hammond, LA 70401-3426
Phone (985) 507-2020

Other practice location 1

14500 Hayne Blvd Ste 200
New Orleans, LA 70128-1751
Phone (504) 210-0460

Other practice location 2

64026 Highway 434 Ste 300
LaCombe, LA 70445-5417
Phone (985) 882-0226

Other practice location 3

23455 Sparrow Rd
Mandeville, LA 70448
Phone (985) 626-6300

Other identifiers 1

IdentifierTypeStateIssuer
1564028MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20071205000690 LA Practitioner - Nurse Practitioner 9931298403 Reassigns benefits to 2 organizations
Practice locations: Amite, LA; Kentwood, LA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cynthia Fussell NP, LLCGroup PAC ID 8729469846, 2 clinicians

Practice addresses (Care Compare)

19153 Country Club LN
Hammond, LA 70401-3426
Phone (985) 507-2020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03602LAMDPhysical Therapist
APO3602LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Apr 30, 2015 Accepting new patients
Convenient Care LLC CurrentSince Apr 30, 2015 Accepting new patients
Cynthia Fussell NP, LLC CurrentSince Jun 13, 2022 Accepting new patients
Field Memorial Community Hospital Past Accepting new patients

Locations

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

9938 Airline Hwy
Baton Rouge, LA 70816
Phone (225) 424-6800

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

921 Avenue G
Kentwood, LA 70444
Phone (985) 229-0717

64026 Highway 434
Ste 300
Lacombe, LA 70445
Phone (985) 882-0226

23455 Sparrow Rd
Mandeville, LA 70448
Phone (985) 626-6543

14500 Hayne Blvd
Ste 200
New Orleans, LA 70128
Phone (504) 210-0460

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1194916163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19153 COUNTRY CLUB LN",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013426",
            "telephone_number": "985-507-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9938 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168100",
            "telephone_number": "225-663-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14500 Hayne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701281751",
            "country_code": "US",
            "telephone_number": "504-210-0460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64026 Highway 434 Ste 300",
            "address_purpose": "LOCATION",
            "city": "LaCombe",
            "state": "LA",
            "postal_code": "704455417",
            "country_code": "US",
            "telephone_number": "985-882-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23455 Sparrow Rd",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "70448",
            "country_code": "US",
            "telephone_number": "985-626-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "CYNTHIA",
        "middle_name": "CRAWFORD",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO3602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1564028",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.