Individual provider Active NPI

Rebecca Shuskie, NP

  • Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1629722392
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F404101 Issued in NY
Practice address
3595 Eggert Rd
Orchard Park, NY 14127-1929
Phone
(716) 536-8002
Fax
(716) 437-0303
NPI assigned
Feb 10, 2022
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F404101 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404101 NY

Addresses

Primary practice location

3595 Eggert Rd
Orchard Park, NY 14127-1929

Mailing address

3595 Eggert Rd
Orchard Park, NY 14127-1929
Phone (716) 536-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026003051 NY Order and Referring Only - PsychiatryPractitioner - PsychiatryPractitioner - Other (Physician) 7416323894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F404101NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc CurrentSince Oct 1, 2024 Accepting new patients
Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, Inc PastSince Oct 1, 2024 Accepting new patients
Amy M Kotarski Psychiatric/Mental Health Past Accepting new patients

Locations

303 Main St
Dunkirk, NY 14048
Phone (716) 413-4661

Organizations & group practices 3

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1629722392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 EGGERT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271929",
            "telephone_number": "716-536-8002",
            "fax_number": "716-437-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 EGGERT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271929",
            "telephone_number": "716-536-8002",
            "fax_number": "716-437-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSKIE",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F404101",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.