JUSTIN ROBERT CUSICK CRNA
NPI 1043561004
Registered Nurse in Coon Rapids, MN

Active since September 30, 2012PECOS EnrolledAccepts Medicare Assignment
8990 SPRINGBROOK DR NW STE 250, COON RAPIDS, MN 55433(763) 398-1176 Get Directions Write a Review

NPPES record last updated: September 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Robert Cusick Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN ROBERT CUSICK CRNA (NPI 1043561004) is an individual registered nurse in Coon Rapids, Minnesota, licensed in Minnesota (R160593-8) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043561004
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameJUSTIN ROBERT CUSICKCredential: CRNA
Location Address8990 SPRINGBROOK DR NW STE 250Coon Rapids, MN 55433-5884
Mailing Address3514 Cherry Ln Unit AWoodbury, MN 55129-8794 · (651) 335-1665
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 30, 2012
✔ NPI 1043561004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MN · R160593-8
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 091716 (MN)
8990 SPRINGBROOK DR NW STE 250, Coon Rapids, MN 55433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Robert Cusick Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981849361
PECOS Enrollment IDI20130408000397
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Cusick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
2622 132ND AVE NE
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 29 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
Anesthesiology
640 JACKSON ST
Saint Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • 119 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
17 services16 patients
Anesthesia for open or endoscopic total shoulder joint replacement 01638
Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW STE 250
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW STE 250
COON RAPIDS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Cusick's NPI number?

The NPI number for Justin Cusick is 1043561004. It was assigned to this individual provider in the NPPES registry on September 30, 2012.

Where is Justin Cusick located?

Justin Cusick practices at 8990 Springbrook Dr NW Ste 250, Coon Rapids, MN 55433. The listed phone number is (763) 398-1176.

What is Justin Cusick's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Justin Cusick enrolled in Medicare?

Yes. Justin Cusick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Cusick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Cusick reassigns Medicare benefits to 3 organizations: Twin Anesthesia LLC (Blaine, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN) and Twin Cities Anesthesia Associates PC (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Cusick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Cusick affiliated with any hospitals?

According to CMS data, Justin Cusick is affiliated with Lakeview Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Cusick was last updated on September 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.