MR. NECHEMIAH LEIB KUSHNER CAA
NPI 1568090504
Anesthesiologist Assistant in Milwaukee, WI

Q: What is Nechemiah Kushner's NPI number?

The NPI number for Nechemiah Kushner is 1568090504. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Nick Kushner Caa.

Q: What is Nechemiah Kushner's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Nechemiah Kushner was last updated on June 16, 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.

Active since March 27, 2020Accepts Medicare Assignment

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-8700(414) 259-1522 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2020, Mar 27, 2020 (2 updates tracked since 2020).

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About Mr. Nechemiah Leib Kushner Caa NPPES

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

MR. NECHEMIAH LEIB KUSHNER CAA (NPI 1568090504) is an individual anesthesiologist assistant in Milwaukee, Wisconsin, licensed in Wisconsin (160) and active in the NPI registry since March 2020. He is affiliated with Central Florida Lake Monroe Hospital, maintains a secondary practice location in Menomonee Falls, and is a graduate of Case Western University School Of Dental Medicine (2020).

NPPES Registry Identity

NPI1568090504

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMR. NECHEMIAH LEIB KUSHNERCredential: CAA

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-8700 · Fax (414) 259-1522

Phone(414) 805-8700

Fax(414) 259-1522

Sole ProprietorNo

Medical School CMSCase Western University School Of Dental MedicineGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateJune 16, 20202 updates tracked since enumeration

NPPES CertifiedJune 16, 2020

✔ NPI 1568090504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in WI · 160✔ Licensed · 32697630

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

9200 W WISCONSIN AVE, Milwaukee, WI 53226

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Other Names 1

Professional Name (2)Nick Kushner Caa

Secondary Practice Location 1

Location 1W180N8085 Town Hall RdMenomonee Falls, WI 53051-3518 · Phone (262) 251-1000

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

Mr. Nechemiah Leib Kushner Caa 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 ID4082030309

PECOS Enrollment IDI20220826001043

Medicare Billing Reassignment

Medicare enrollment records show Nechemiah Kushner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sheridan Healthcorp Inc

868 mi

Anesthesiology

4600 N DAVIS HWY
Pensacola, FL 32503

Reassigned Medicare billing, Florida enrollment
1,973 clinicians in this Medicare group

NPI 1811664386 (973) 251-1132

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

Hospital Affiliations CMS Care Compare

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

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100161

Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County

Emergency services

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

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 Nechemiah Kushner's NPI number?

The NPI number for Nechemiah Kushner is 1568090504. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Nick Kushner Caa.

Where is Nechemiah Kushner located?

Nechemiah Kushner practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-8700.

What is Nechemiah Kushner's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Nechemiah Kushner enrolled in Medicare?

Yes. Nechemiah Kushner 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 organization bills Medicare for Nechemiah Kushner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nechemiah Kushner reassigns Medicare benefits to Sheridan Healthcorp Inc (Pensacola, FL). The 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 Nechemiah Kushner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nechemiah Kushner affiliated with any hospitals?

According to CMS data, Nechemiah Kushner is affiliated with Central Florida Lake Monroe Hospital.

When was this NPI record last updated?

The NPPES record for Nechemiah Kushner was last updated on June 16, 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.