Active NPI
Courtney L. Jusino, DNP
- Family Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN01985
- Practice address
- 1 Randall SQ
Providence, RI 02904-2709 - Phone
- (401) 274-6339
- Fax
- (401) 453-6290
- NPI assigned
- Oct 25, 2018
- Last updated
- Jul 7, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN01985 | RI | Primary |
Addresses
Primary practice location
1 Randall SQ
Providence, RI 02904-2709
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Other practice location 1
80 Lambert Lind Hwy
Warwick, RI 02886-1071
Phone (401) 739-7900
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | courtney.jusino.p2@direct.ebcap.nextgenshare.com | ||
| Direct Messaging Address | cjusino58572@HCNetwork.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Randall SQ
Providence, RI 02904-2709
Phone (401) 274-6339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Community Health Centers, Inc | Current | Accepting new patients | |
| MW Wellness Ventures II, LLC | Past | Accepting new patients | |
| Medi Health and Wellness, LLC | Past | Accepting new patients | |
| The Providence Community Health Centers Inc. | Past | Accepting new patients |
Locations
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400
Interoperability endpoints
- cjusino58572@hcnetwork.direct-ci.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1053313593
-
- Family Medicine Physician
- Warwick, RI
- NPI 1497253322
-
- Family Medicine Physician
- Warwick, RI
- NPI 1437651882
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1558650986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1235606526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ALLENS AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029055010",
"telephone_number": "401-444-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RANDALL SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042709",
"telephone_number": "401-274-6339",
"fax_number": "401-453-6290"
}
],
"practiceLocations": [
{
"address_1": "80 Lambert Lind Hwy",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861071",
"country_code": "US",
"telephone_number": "401-739-7900",
"fax_number": "401-739-7910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSINO",
"first_name": "COURTNEY",
"middle_name": "L.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01985",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "courtney.jusino.p2@direct.ebcap.nextgenshare.com",
"affiliation": "N",
"address_1": "610 Waterman Ave",
"city": "East Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029142427",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjusino58572@HCNetwork.direct-ci.com",
"affiliation": "N",
"address_1": "1 Randall Sq",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029042709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.