Individual provider Active NPI

Mara Lynn Fusfield, ARNP

  • Family Nurse Practitioner
  • Mattawa, WA
National Provider Identifier
1992871107
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30005706 Issued in WA
Practice address
210 Government Rd
Mattawa, WA 99349-5116
Phone
(509) 932-4499
Fax
(509) 932-5363
NPI assigned
Nov 28, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30005706 WA Primary
Nurse Practitioner 363L00000X AP30005706 WA

Addresses

Primary practice location

210 Government Rd
Mattawa, WA 99349-5116

Mailing address

210 Government Rd
Mattawa, WA 99349-5116
Phone (509) 932-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080424000531 WA Practitioner - Nurse Practitioner 2769408640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E Jackson Ave
Ellensburg, WA 98926-3692
Phone (509) 933-8777

206 Government Rd
Mattawa, WA 99349-5116
Phone (509) 932-4499

210 Government Rd
Mattawa, WA 99349-5116
Phone (509) 932-4499

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30005706WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 CurrentSince Aug 27, 2025 Accepting new patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Aug 27, 2025 Accepting new patients
Community Health of Central Washington CurrentSince May 12, 2008 Accepting new patients
Community Health of Central Washington CurrentSince May 12, 2008 Accepting new patients
Kittitas County Public Hospital District Past Accepting new patients
Kittitas County Public Hospital Dist 1 Past Accepting new patients

Locations

100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000

100 E Jackson Ave
Ste 100
Ellensburg, WA 98926

521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1992871107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GOVERNMENT RD",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993495116",
            "telephone_number": "509-932-4499",
            "fax_number": "509-932-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GOVERNMENT RD",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993495116",
            "telephone_number": "509-932-4499",
            "fax_number": "509-932-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSFIELD",
        "first_name": "MARA",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005706",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30005706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattawa, WA

Sources for this page

Verify at the official NPI Registry.