Individual provider Active NPI

Katie Fusco

  • Family Medicine Physician
  • Wilbraham, MA
National Provider Identifier
1609575893
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN254845 Issued in MA
Practice address
95 Post Office Park Ste 9523
Wilbraham, MA 01095-1199
Phone
(413) 258-0010
Fax
(413) 417-2924
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN254845 MA Primary

Addresses

Primary practice location

95 Post Office Park Ste 9523
Wilbraham, MA 01095-1199

Mailing address

95 Post Office Park Ste 9523
Wilbraham, MA 01095-1199
Phone (413) 258-0010

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
I20240808001003 MA Practitioner - Nurse Practitioner 3577000553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellpoint Health Solutions LLCGroup PAC ID 0143582262, 6 clinicians

Practice addresses (Care Compare)

95 Post Office Park
Suite 9523
Wilbraham, MA 01095-1199
Phone (413) 258-0010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellpoint Health Solutions, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

95 Post Office Park
Ste 9523
Wilbraham, MA 01095
Phone (413) 258-0010

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1609575893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 POST OFFICE PARK STE 9523",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951199",
            "telephone_number": "413-258-0010",
            "fax_number": "413-417-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 POST OFFICE PARK STE 9523",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951199",
            "telephone_number": "413-258-0010",
            "fax_number": "413-417-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN254845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

Verify at the official NPI Registry.