1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MICHAEL CUSACK
NPI 1578359600
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Active since April 16, 2025PECOS Enrolled
1112 6TH AVE, TACOMA, WA 98405(253) 403-2915 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Michael Cusack NPPES

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

MICHAEL CUSACK (NPI 1578359600) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578359600
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL CUSACK
Location Address1112 6TH AVETacoma, WA 98405-4040
Mailing Address1112 6th AveTacoma, WA 98405-4040 · (253) 403-2915
Phone(253) 403-2915
Sole ProprietorYes
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1578359600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1112 6TH AVE, Tacoma, WA 98405
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Cusack 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 20

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

SYLVIA GRACE MAST DO
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Pierce County (253) 792-6680
DEAN KIRK DOUGLAS PA-C
Physician Assistant (Surgical)
1112 6TH AVE, STE 300
TACOMA, WA 98405
Pierce County (253) 272-2224
PROFESSIONAL PHARMACY SERVICES, INC.
Pharmacy (Community/Retail Pharmacy)
1112 6TH AVE, STE 101
TACOMA, WA 98405
Pierce County (253) 272-1107
DR. ALEXIS YAGODA DO
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Pierce County (253) 792-6680
TACOMA ENDOSCOPY CENTER
Clinic/Center (Endoscopy)
1112 6TH AVE, 200
TACOMA, WA 98405
Pierce County (253) 272-8664
MORGAN HARRIES DAVIS NP
Nurse Practitioner (Family)
1112 6TH AVE
TACOMA, WA 98405
Pierce County (253) 403-6750
TASC LLC
Clinic/Center
1112 6TH AVE, SUITE 100
TACOMA, WA 98405
Pierce County (253) 272-3916
ELIZABETH NARWOLD MD
Student in an Organized Health Care Education/Training Program
1112 6TH AVE
TACOMA, WA 98405
Pierce County (253) 792-6680

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 Michael Cusack's NPI number?

The NPI number for Michael Cusack is 1578359600. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Michael Cusack located?

Michael Cusack practices at 1112 6th Ave, Tacoma, WA 98405. The listed phone number is (253) 403-2915.

What is Michael Cusack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Cusack enrolled in Medicare?

Yes. Michael Cusack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Cusack was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.