Active NPI
Mara Lynn Fusfield, ARNP
- Family Nurse Practitioner
- Mattawa, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005706
- Practice address
- 210 Government Rd
Mattawa, WA 99349-5116 - Phone
- (509) 932-4499
- Fax
- (509) 932-5363
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0399341 | Other | WA | (L&I) |
| 1024069 | Medicaid | WA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Kittitas County Public Hospital Dist 1Grant County Public Hospital District No 5
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
- Kittitas Valley Home Health & Hospice
- Kittitas Valley Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Kittitas County Public Hosp Dist 1 | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Community Health of Central Washington | Current | Accepting new patients | |
| Community Health of Central Washington | Current | Accepting new patients | |
| Kittitas County Public Hospital District | Past | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Past | Accepting new patients |
Locations
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414
100 E Jackson Ave
Ste 100
Ellensburg, WA 98926
100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263
Organizations & group practices 14
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.
-
- Federally Qualified Health Center (FQHC)
- Mattawa, WA
- NPI 1699720797
WA
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
WA
-
- Rural Health Clinic/Center
- Cle Elum, WA
- NPI 1194747774
-
- Rural Health Clinic/Center
- Ellensburg, WA
- NPI 1932115391
-
- Federally Qualified Health Center (FQHC)
- Mattawa, WA
- NPI 1013743210
-
- Federally Qualified Health Center (FQHC)
- Mattawa, WA
- NPI 1609410075
-
- Rehabilitation Hospital Unit
- Ellensburg, WA
- NPI 1033139431
-
- Home Health Agency
- Ellensburg, WA
- NPI 1376561654
-
- Community Based Hospice Care Agency
- Ellensburg, WA
- NPI 1639197882
-
- Rural Health Clinic/Center
- Ellensburg, WA
- NPI 1770711764
-
- Federally Qualified Health Center (FQHC)
- Tieton, WA
- NPI 1700255874
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
Hospital
-
- Home Health Agency
- Ellensburg, WA
- NPI 1376561654
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "(L&I)",
"identifier": "0399341",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024069",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mattawa, WA
- Misty A Christensen, RDH, EFDA
- Columbia Basin Health Association
- Columbia Basin Health Association
- Columbia Basin Health Association
- Columbia Basin Health Association
- Brian J Gable, PHARMD
- M Jean Gallacci, RN
- Grant County Fire District No. 8
- Grant County Public Hospital District 5
- Grant County Public Hospital District No 5
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.