SUSHMA GURUNG NP
NPI 1043563653
Nurse Practitioner - Family in Springfield, MA

Q: What is Sushma Gurung's NPI number?

The NPI number for Sushma Gurung is 1043563653. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Q: What is Sushma Gurung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sushma Gurung was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 19, 2012PECOS EnrolledAccepts Medicare Assignment

1049 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100(413) 735-1133 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2023, Nov 15, 2018, Feb 25, 2016 and 1 more (4 updates tracked since 2016).

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About Sushma Gurung Np NPPES

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

SUSHMA GURUNG NP (NPI 1043563653) is an individual family provider in Springfield, Massachusetts, licensed in Massachusetts (RN2326337) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043563653

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSHMA GURUNGCredential: NP

Location Address1049 MAIN STSpringfield, MA 01103-2114

Mailing Address1049 Main StSpringfield, MA 01103-2114 · (413) 739-1100 · Fax (413) 735-1133

Phone(413) 739-1100

Fax(413) 735-1133

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 19, 2012

Last NPPES UpdateJanuary 2, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2023

✔ NPI 1043563653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · RN2326337

1049 MAIN ST, Springfield, MA 01103

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Other Identifiers 1

OtherMG1165946NMA · Mcsr No

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sushma Gurung Np 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 ID4981926029

PECOS Enrollment IDI20141201001364, I20190107002582, I20230424002790

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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220066

Location271 Carew StreetSpringfield, MA 01104 · Hampden County

Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ISMAEL JOEL CINTRON GONZALEZ LCSW

Social Worker (Clinical)