Individual provider Active NPI

Stacy M Fusner, DNP, APRN, CNP

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1720690597
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0027413 Issued in OH
Practice address
1128 Linden Ave
Zanesville, OH 43701-2908
Phone
(740) 487-4717
Fax
(740) 487-4716
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 0027413 OH Primary

Addresses

Primary practice location

1128 Linden Ave
Zanesville, OH 43701-2908

Mailing address

1128 Linden Ave
Zanesville, OH 43701-2908
Phone (740) 891-1288

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pm-fp.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201001003214 OH Practitioner - Nurse Practitioner 5991124463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Priority Medical Family Practice LLCGroup PAC ID 4082033550, 3 clinicians

Practice addresses (Care Compare)

1128 Linden Ave
Zanesville, OH 43701-2908
Phone (740) 487-4717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0027413OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Medical Family Practice, LLC CurrentSince Sep 9, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1128 Linden Ave
Zanesville, OH 43701
Phone (740) 255-4008

Interoperability endpoints

  • Direct secure messaging: sfusner@pmfp.adaptamed.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1720690597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012908",
            "telephone_number": "740-891-1288",
            "fax_number": "740-487-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 LINDEN AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012908",
            "telephone_number": "740-487-4717",
            "fax_number": "740-487-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSNER",
        "first_name": "STACY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pm-fp.com",
            "affiliation": "N",
            "address_1": "1128 Linden Ave",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437012908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.