KELLIE CUSICK MSN
NPI 1578194940
Nurse Practitioner - Family in Signal Hill, CA

Q: What is Kellie Cusick's NPI number?

The NPI number for Kellie Cusick is 1578194940. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Q: What is Kellie Cusick'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 Kellie Cusick was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 February 03, 2020PECOS Enrolled

2704 E WILLOW ST, SIGNAL HILL, CA 90755(562) 490-9900 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 18, 2025, Feb 3, 2020 (2 updates tracked since 2020).

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About Kellie Cusick Msn NPPES

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

KELLIE CUSICK MSN (NPI 1578194940) is an individual family provider in Signal Hill, California, licensed in California (95013797) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1578194940

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLIE CUSICKCredential: MSN

Location Address2704 E WILLOW STSignal Hill, CA 90755-2217

Mailing Address277 Bay Shore AveLong Beach, CA 90803-3543

Phone(562) 490-9900

Sole ProprietorYes

Enumeration DateFebruary 3, 2020

Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1578194940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95013797

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95013797 (CA)

2704 E WILLOW ST, Signal Hill, CA 90755

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Secondary Practice Location 1

Location 1701 E 28th St Ste 419Long Beach, CA 90806-2775 · Phone (562) 490-9900

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Cusick Msn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90755 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

SAVANNAH ANLIAN HANSON PA-C

Physician Assistant