Individual provider Active NPI

Geraldine A. Kasulinous, APRN, PC, FNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Ludlow, MA
National Provider Identifier
1245210798
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
178541 Issued in MA
Practice address
308 Miller St Unit 71
Ludlow, MA 01056-1503
Phone
(413) 789-7455
Fax
(413) 789-7444
NPI assigned
Jan 19, 2006
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 178541 MA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 178541 MA Primary

Addresses

Primary practice location

308 Miller St Unit 71
Ludlow, MA 01056-1503

Mailing address

308 Miller St Unit 71
Ludlow, MA 01056-1503
Phone (413) 789-7455

Other identifiers 1

IdentifierTypeStateIssuer
KANS0663OtherMAMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040329000448 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 2769374297 Practice locations: Ludlow, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

308 Miller St
Unit 71
Ludlow, MA 01056-1503
Phone (413) 789-7455

308 Miller St Unit
Suite 71
Ludlow, MA 01056-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
178541MAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Western Massachusetts Inc PastSince May 3, 1999 Accepting new patients
Jewish Family Service of Western Massachusetts Past Accepting new patients

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, 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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1245210798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MILLER ST UNIT 71",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561503",
            "telephone_number": "413-789-7455",
            "fax_number": "413-789-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MILLER ST UNIT 71",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561503",
            "telephone_number": "413-789-7455",
            "fax_number": "413-789-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASULINOUS",
        "first_name": "GERALDINE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "APRN, PC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "178541",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "178541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "KANS0663",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.