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NICHOLAS EDWARD FUSCO PA-C
NPI 1477551620
Physician Assistant - Medical in Concord, NC

Active since July 12, 2005PECOS Enrolled
391 GEORGE W LILES PKWY NW, CONCORD, NC 28027(704) 886-1780(704) 918-4505 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2020, Mar 24, 2020 (2 updates tracked since 2020).

About Nicholas Edward Fusco Pa-c NPPES

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

NICHOLAS EDWARD FUSCO PA-C (NPI 1477551620) is an individual medical provider in Concord, North Carolina, licensed in North Carolina (0010-10044) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477551620
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICHOLAS EDWARD FUSCOCredential: PA-C
Location Address391 GEORGE W LILES PKWY NWConcord, NC 28027-8218
Mailing Address391 George W Liles Pkwy NwConcord, NC 28027-8218 · (704) 886-1780 · Fax (704) 918-4505
Phone(704) 886-1780
Fax(704) 918-4505
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1477551620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in NC · 0010-10044✔ Licensed in PA · MA002789L
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA002789L (PA)
391 GEORGE W LILES PKWY NW, Concord, NC 28027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Edward Fusco Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MR. ROBERTO A MARSICO JR. PA-C
Physician Assistant
391 GEORGE W LILES PKWY NW
CONCORD, NC 28027
Cabarrus County (713) 993-7344
URGENT CARES OF AMERICA NORTH CAROLINA INC.
General Practice
391 GEORGE W LILES PKWY NW
CONCORD, NC 28027
Cabarrus County (704) 886-1780
URGENT CARES OF AMERICA NORTH CAROLINA INC
Non-Pharmacy Dispensing Site
391 GEORGE W LILES PKWY NW
CONCORD, NC 28027
Cabarrus County (704) 886-1780

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 Nicholas Fusco's NPI number?

The NPI number for Nicholas Fusco is 1477551620. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Nicholas Fusco located?

Nicholas Fusco practices at 391 George W Liles Pkwy NW, Concord, NC 28027. The listed phone number is (704) 886-1780.

What is Nicholas Fusco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicholas Fusco enrolled in Medicare?

Yes. Nicholas Fusco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Fusco was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.