Kasey Cushman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011067 Issued in NC

Practice address

3514 Main St
Coventry, CT 06238-1551

Phone

(860) 742-3543

NPI assigned

Jan 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_kcushma1@landmarkhealth-direct.org

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.

• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1033990544
  Medicare reassignment Care Compare group NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Columbia, SC
  • NPI 1003531567
  Medicare reassignment NPD
• Bradley B Bailey MD and Roger B Schechter MD Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • San Diego, CA
  • NPI 1831349315
  NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Westbrook, ME
  • NPI 1982310439
  NPD
• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Alpharetta, GA
  • NPI 1154207769
  NPD
• Scmwc Inc

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1356187132
  NPD

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1659818474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381039802",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381551",
            "telephone_number": "860-742-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "KASEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6938",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut CVS Pharmacy, L.L.C.
• Coventry Internal Medicine
• Coventry Oral and Implant Surgery PLLC
• Coventry Public Schools
• Cpa LLC
• Alisa Lyudmila Da Costa-Rodrigues, APRN
• Lia Damato
• Nancy Lenzen Davis, MT-BC
• Lesley Dumais, RPH
• Renee Lucille Dupuis, OTR/L

• Family Nurse Practitioner in Coventry, CT
• Providers in Coventry, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.