Individual provider Active NPI

Natalie Jackson Kusner

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1275218349
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2384248 Issued in MA
Practice address
126 Cove St
Fall River, MA 02720-1357
Phone
(774) 379-0227
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2384248 MA
Registered Nurse 163W00000X RN.501797 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2384248 MA Primary

Addresses

Primary practice location

126 Cove St
Fall River, MA 02720-1357

Mailing address

126 Cove St
Fall River, MA 02720-1357
Phone (617) 941-3309

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
I20230824002253 MA Practitioner - Nurse Practitioner 1254794126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

126 Cove St
Fall River, MA 02720-1306
Phone (508) 678-0041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2384248MAMDRegistered Nurse
RN.501797OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The May Institute, Inc CurrentSince Jun 18, 2023 Accepting new patients
Northeast Health Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Northeast Health Services PastSince Aug 1, 2023 Accepting new patients

Locations

126 Cove St
Fall River, MA 02720
Phone (508) 678-0041

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1275218349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 COVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201357",
            "telephone_number": "617-941-3309",
            "fax_number": "508-324-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201357",
            "telephone_number": "774-379-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSNER",
        "first_name": "NATALIE",
        "middle_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2384248",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.501797",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2384248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.