Individual provider Active NPI

Christine E Kushner, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1548291990
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021515 Issued in PA
Practice address
3 S Brady St Ste 205
Du Bois, PA 15801-2159
Phone
(814) 371-1088
Fax
(814) 371-4966
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN274879L PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP021515 PA Primary

Addresses

Primary practice location

3 S Brady St Ste 205
Du Bois, PA 15801-2159

Mailing address

3 S Brady St Ste 205
Du Bois, PA 15801-2159
Phone (814) 371-1088

Other identifiers 1

IdentifierTypeStateIssuer
001635633OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christine.kushner@core-psych.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200508001809 PA Practitioner - Nurse Practitioner 0840621736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamestown Psychiatric PCGroup PAC ID 0244314631, 15 clinicians

Practice addresses (Care Compare)

20 Gillis Ave
Ridgway, PA 15853-1604
Phone (814) 772-5741

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN274879LPAMDPsychiatric/Mental Health Registered Nurse
SP021515PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Psychiatric PC CurrentSince Sep 3, 2023 Accepting new patients
Jamestown Psychiatric PC CurrentSince May 7, 2023 Accepting new patients

Locations

1465 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 526-4041

20 Gillis Ave
Unit 6
Ridgway, PA 15853
Phone (814) 772-5741

20 Gillis Ave
Ridgway, PA 15853
Phone (716) 526-4041

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1548291990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S BRADY ST STE 205",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012159",
            "telephone_number": "814-371-1088",
            "fax_number": "814-371-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S BRADY ST STE 205",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012159",
            "telephone_number": "814-371-1088",
            "fax_number": "814-371-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN274879L",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001635633",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine.kushner@core-psych.com",
            "affiliation": "N",
            "address_1": "3 S Brady St Ste 205",
            "city": "Du Bois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158012159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.