Individual provider Active NPI

Kristie Ward Cusick, ARNP

  • Family Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1700835519
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75201 Issued in NC
Practice address
2345 Morganton Blvd SW
Lenoir, NC 28645
Phone
(828) 426-8418
Fax
(828) 426-8414
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 75201 NC Primary

Addresses

Primary practice location

2345 Morganton Blvd SW
Lenoir, NC 28645

Mailing address

2345 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 426-8418

Other identifiers 1

IdentifierTypeStateIssuer
3087484-00MedicaidFL

Other names 1

  • Kristie Ward Cusick Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130613000301 NC Practitioner - Nurse Practitioner 8123108859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75201NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Caldwell CurrentSince May 10, 2024 Accepting new patients
County of Caldwell CurrentSince May 10, 2024 Accepting new patients
Uwh of the Carolinas, PLLC CurrentSince Sep 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients

Locations

915 Tate Blvd SE
Ste 170
Hickory, NC 28602
Phone (828) 345-0800

2345 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 426-8400

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: kristie.cusick.1@14667.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1700835519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-426-8418",
            "fax_number": "828-426-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-426-8418",
            "fax_number": "828-426-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSICK",
        "first_name": "KRISTIE",
        "middle_name": "WARD",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "75201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087484-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "CUSICK",
            "middle_name": "WARD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.