Individual provider Active NPI

Mary Lou Fusi, APRN

  • Family Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1295855518
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002160 Issued in CT
Practice address
495 Congress Ave
3Rd Floor
New Haven, CT 06519-1312
Phone
(203) 781-4640
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 002160 CT Primary

Addresses

Primary practice location

495 Congress Ave
3Rd Floor
New Haven, CT 06519-1312

Mailing address

297 Neck Rd
Madison, CT 06443-2755
Phone (203) 245-9106

Other identifiers 1

IdentifierTypeStateIssuer
002160OtherCTCT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2160CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apt Foundation, Inc Past Accepting new patients

Organizations & group practices 1

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295855518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 NECK RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432755",
            "telephone_number": "203-245-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CONGRESS AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191312",
            "telephone_number": "203-781-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSI",
        "first_name": "MARY",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "002160",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.