Individual provider Active NPI

Christine Sheridan Shusterman, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Boston, MA
National Provider Identifier
1578823274
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN241182 Issued in MA
Practice address
333 Longwood Ave
Pain Treatment Office 5TH Floor
Boston, MA 02115-5711
Phone
(617) 355-6995
Fax
(617) 730-0649
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN241182 MA Primary

Addresses

Primary practice location

333 Longwood Ave
Pain Treatment Office 5TH Floor
Boston, MA 02115-5711

Mailing address

28 Blacksmith Dr
Needham, MA 02492-1902
Phone (781) 400-5877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150114000206 MA Practitioner - Nurse Practitioner 3779807136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHMC Anesthesia Foundation IncGroup PAC ID 0446155568, 131 clinicians

Practice addresses (Care Compare)

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHMC Anesthesia Foundation Inc Pediatrics CurrentSince Oct 1, 2014 Accepting new patients

Locations

300 Longwood Ave
#267
Boston, MA 02115

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

333 Longwood Ave
Ofc 5TH
Boston, MA 02115
Phone (617) 355-6995

Interoperability endpoints

  • Direct secure messaging: cshusterman26326@direct.bostonchildrens.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1578823274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLACKSMITH DR",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921902",
            "telephone_number": "781-400-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LONGWOOD AVE",
            "address_2": "PAIN TREATMENT OFFICE 5TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155711",
            "telephone_number": "617-355-6995",
            "fax_number": "617-730-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTERMAN",
        "first_name": "CHRISTINE",
        "middle_name": "SHERIDAN",
        "name_prefix": "Mrs.",
        "credential": "MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN241182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.