Zachary Blake Fussell, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

202773 Issued in LA

Practice address

1220 Pierremont Rd Ste B
Shreveport, LA 71106-1943

Phone

(318) 629-5036

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Curana Health of Louisiana LLC

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1538399704
  Medicare reassignment Care Compare group NPD
• Brentwood Acquisition-Shreveport Inc.

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1164725701
  Medicare reassignment NPD
• Resilient Recovery Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bossier City, LA
  • NPI 1679311609
  Medicare reassignment NPD
• CH MSSP Services la LLC

  • Internal Medicine Physician
  • Sulphur, LA
  • NPI 1982285060
  Medicare reassignment
• Brentwood Acquisition-Shreveport Inc.

  • Psychiatric Hospital
  • Shreveport, LA
  • NPI 1417979204
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1861114407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 LOVERS LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054830",
            "telephone_number": "318-840-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PIERREMONT RD STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061943",
            "telephone_number": "318-629-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "ZACHARY",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "202773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Fultz, DPT
• Function First Physical Therapy, LLC
• Jacob Wade Funderburk, PLPC
• Dannette Furgerson, AGPCNP
• Ansley Fussell, MOT
• Michael Futrell, MD
• G Brent Whitton MD and Willis-Knighton Medical Center
• Cathy Barfield Gabriel, LCSW
• Shiva Jashwanth Gaddam
• Kalea Gaddie, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.