Dustin Richard Husemann, ACNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP11403 Issued in AZ

Practice address

914 N San Francisco St Ste D
Flagstaff, AZ 86001-3254

Phone

(928) 985-1495

Fax

(928) 597-5198

NPI assigned

Jul 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, IA, FL3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dustin.husemann.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1942070370
  Medicare reassignment Care Compare group NPD
• Honorhealth

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1801092564
  Medicare reassignment NPD
• Honorhealth Ambulatory

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  Medicare reassignment NPD
• Alan Wolfson MD LLC

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1336915867

  FL

  Medicare reassignment NPD
• Honorhealth

  • Prosthetic/Orthotic Supplier
  • Peoria, AZ
  • NPI 1386456762
  NPD
• Honorhealth Ambulatory

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
  • NPI 1275833915

  Acute Care

  NPD
• Honorhealth Ambulatory

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1891518130
  NPD
• Mountain Springs Counseling P.L.L.C

  • Community/Behavioral Health Agency
  • Show Low, AZ
  • NPI 1881058261
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Show Low, AZ
  • NPI 1568272698
  NPD
• Phoenix Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1396227609
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1548756794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136627",
            "telephone_number": "503-866-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N SAN FRANCISCO ST STE D",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013254",
            "telephone_number": "928-985-1495",
            "fax_number": "928-597-5198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 52nd Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337054951",
            "country_code": "US",
            "telephone_number": "808-745-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1655 S Blue Island Ave Ste 382",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606082133",
            "country_code": "US",
            "telephone_number": "319-481-8077",
            "fax_number": "319-242-7958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSEMANN",
        "first_name": "DUSTIN",
        "middle_name": "RICHARD",
        "credential": "ACNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP11403",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11403",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209022157",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11026081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Richard Hukow, SLPA
• Humphreys Street Chiropractic
• Kenneth Gray Hunt, ED. S, NBCC
• Rachel Hunt, RD
• Whitney Marie Hurd
• Keith B Hutchinson, MD
• Phoebe Renee Hutchison-Scott
• Byron Hutto, MD
• Trisha Rene Hutton, ACNP
• Walt Hutton III, NP

• Psychiatric/Mental Health Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.