TAMMY FUSILIER CRNP
NPI 1366096034
Nurse Practitioner - Gerontology in Waldorf, MD
About Tammy Fusilier Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMMY FUSILIER CRNP (NPI 1366096034) is an individual gerontology provider in Waldorf, Maryland, licensed in Maryland (R215486) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Tammy Fusilier Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tammy Fusilier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waldorf, MD 20603
- Reassigned Medicare billing, Maryland enrollment
Waldorf, MD 20602
- Reassigned Medicare billing, Maryland enrollment
- 2 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALDORF, MD 20603
WALDORF, MD 20603
WALDORF, MD 20603
WALDORF, MD 20603
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 Tammy Fusilier's NPI number?
The NPI number for Tammy Fusilier is 1366096034. It was assigned to this individual provider in the NPPES registry on July 30, 2019.
Where is Tammy Fusilier located?
Tammy Fusilier practices at 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603. The listed phone number is (240) 729-6250.
What is Tammy Fusilier's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Tammy Fusilier enrolled in Medicare?
Yes. Tammy Fusilier 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 Tammy Fusilier's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Fusilier reassigns Medicare benefits to 2 organizations: Ahanna Health And Wellness, LLC (Waldorf, MD) and Southern Maryland Primary Care, LLC (Waldorf, MD). 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 Tammy Fusilier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tammy Fusilier was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tammy Fusilier, CRNP · NPI 1366096034
Gerontology physician in Waldorf, Maryland. Individual provider, active in the CMS NPPES registry since July 30, 2019.
## Identity
- **NPI:** 1366096034 (Entity type: Individual)
- **Enumerated:** July 30, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** R215486 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 173 SAINT PATRICKS DR STE 104, Waldorf, MD 20603-5530
- **Phone:** (240) 729-6250 · **Fax:** (949) 695-4106
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ahanna Health And Wellness, LLC (NPI 1891559530, Waldorf, MD); Southern Maryland Primary Care, LLC (NPI 1831386630, Waldorf, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366096034) · Data from the CMS NPPES public registry.