Individual provider Active NPI

Sunhe Fusco

  • Adult Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1487902276
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN00268 Issued in RI
Practice address
195 Collyer St
Suite 302
Providence, RI 02904-1869
Phone
(401) 793-5708
Fax
(401) 793-5171
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN273529 MA
Adult Health Nurse Practitioner 363LA2200X NPP37768 RI
Adult Health Nurse Practitioner 363LA2200X APRN00268 RI Primary

Addresses

Primary practice location

195 Collyer St
Suite 302
Providence, RI 02904-1869

Mailing address

PO Box 16149
Rumford, RI 02916-0697
Phone (401) 453-9625

Other names 1

  • Sunhe Chong Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130927000065 RI Practitioner - Nurse Practitioner 7719126861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgical Associates, Inc.Group PAC ID 4082503032, 105 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

195 Collyer St
Suite 302
Providence, RI 02904-1869
Phone (401) 793-5140

235 Plain St
Suite 501
Providence, RI 02905-3243
Phone (401) 444-5495

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
University Surgical Associates, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Rhode Island Hospital Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 9, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 9, 2021 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

208 Collyer St
Ste 301A
Providence, RI 02904
Phone (401) 725-4888

235 Plain St
Ste 501
Providence, RI 02905
Phone (401) 277-0701

195 Collyer St
Ste 302
Providence, RI 02904
Phone (401) 793-5140

2 Dudley St
Ste 470
Providence, RI 02905
Phone (401) 274-7546

164 Summit Ave
Ste C70
Providence, RI 02906

235 Plain St
Ste 203
Providence, RI 02905
Phone (401) 444-2701

164 Summit Ave
#C70
Providence, RI 02906
Phone (401) 793-3922

Interoperability endpoints

  • Direct secure messaging: sfusco29469@brownhealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1487902276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16149",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029160697",
            "telephone_number": "401-453-9625",
            "fax_number": "401-435-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "address_2": "SUITE 302",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-793-5708",
            "fax_number": "401-793-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "SUNHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN273529",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "NPP37768",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN00268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNHE",
            "last_name": "CHONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.