Individual provider Active NPI

Rebecca Anne Kuss, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamestown, ND
National Provider Identifier
1568968394
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R35239 Issued in ND
Practice address
715 10TH St SE
Jamestown, ND 58401-5728
Phone
(701) 952-9600
NPI assigned
Apr 2, 2018
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R35239 ND Primary

Addresses

Primary practice location

715 10TH St SE
Jamestown, ND 58401-5728

Mailing address

715 10TH St SE
Jamestown, ND 58401-5728
Phone (701) 952-9600

Other practice location 1

1200 Roberts Ave NE
Cooperstown, ND 58425-7101
Phone (701) 952-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20180508001686 ND Practitioner - Nurse Practitioner 5496019028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inspired Healthcare PLLCGroup PAC ID 2264856756, 4 clinicians

Practice addresses (Care Compare)

715 10TH St SE
Jamestown, ND 58401-5728
Phone (701) 952-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R35239NDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Healthcare, PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2020 Accepting new patients

Locations

107 12th St S
Cooperstown, ND 58425
Phone (701) 786-1700

1200 Roberts Ave NE
Cooperstown, ND 58425
Phone (701) 797-2128

110 9th St SW
#2
Jamestown, ND 58401
Phone (701) 952-9600

715 10th St SE
Jamestown, ND 58401
Phone (701) 252-9852

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1568968394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015728",
            "telephone_number": "701-952-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015728",
            "telephone_number": "701-952-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Roberts Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "ND",
            "postal_code": "584257101",
            "country_code": "US",
            "telephone_number": "701-952-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSS",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R35239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.