Individual provider Active NPI

Cynthia D Kusler, FNP

  • Family Nurse Practitioner
  • Roseburg, OR
National Provider Identifier
1578725982
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200950044NP Issued in OR
Practice address
2880 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1203
Phone
(541) 673-2267
Fax
(541) 672-9483
NPI assigned
Jun 26, 2008
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 200950044NP OR Primary

Addresses

Primary practice location

2880 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1203

Mailing address

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone (541) 677-7200

Other identifiers 1

IdentifierTypeStateIssuer
200950044NPOtherOROREGON STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20090706000594 OR Practitioner - Nurse Practitioner 5890846752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Cancer FoundationGroup PAC ID 1951345347, 3 clinicians

Practice addresses (Care Compare)

2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1203
Phone (541) 673-2267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.95 of 100Reported as group
Quality
59.48
Improvement activities
0
Cost
77.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Cancer Foundation CurrentSince Oct 1, 2022 Accepting new patients
Douglas Medical Clinic PC Past Accepting new patients
Douglas Medical Group, LLC Past Accepting new patients

Locations

2880 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 229-4070

2880 NW Stewart Pkwy
Ste 100
Roseburg, OR 97471
Phone (541) 673-2267

Organizations & group practices 4

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.

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1578725982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 NW EDENBOWER BLVD STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716214",
            "telephone_number": "541-677-7200",
            "fax_number": "541-229-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711203",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSLER",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200950044NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD OF NURSING",
            "identifier": "200950044NP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.