JANE KUTSUSHI NP
NPI 1710433693
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Active since August 30, 2016PECOS Enrolled
2 POST OFFICE RD UNIT 4A9497, WALDORF, MD 20602(202) 489-6118 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2024, Aug 15, 2024, Jun 18, 2024 and 1 more (4 updates tracked since 2016).

About Jane Kutsushi Np NPPES

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

JANE KUTSUSHI NP (NPI 1710433693) is an individual psychiatric/mental health provider in Waldorf, Maryland, licensed in District Of Columbia (NP1006184) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1710433693
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJANE KUTSUSHICredential: NP
Location Address2 POST OFFICE RD UNIT 4A9497Waldorf, MD 20602-2726
Mailing Address9497 Pep Rally LnWaldorf, MD 20603-3898 · (202) 489-6118
Sole ProprietorYes
Enumeration DateAugust 30, 2016
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1710433693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in DC · NP1006184✔ Licensed in MD · R166622
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN1006184 (DC)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN1006184 (DC)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License RN1006184 (DC)
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN1006184 (DC)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License NP1006184 (DC)
2 POST OFFICE RD UNIT 4A9497, Waldorf, MD 20602

Secondary Practice Location 1

Location 11221 Gallatin St NWWashington, DC 20011-6915 · Phone (202) 489-6118

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Kutsushi Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jane Kutsushi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
2 POST OFFICE RD STE 4A
Waldorf, MD 20602
  • Reassigned Medicare billing, District of Columbia enrollment
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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 Jane Kutsushi's NPI number?

The NPI number for Jane Kutsushi is 1710433693. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Jane Kutsushi located?

Jane Kutsushi practices at 2 Post Office Rd Unit 4a9497, Waldorf, MD 20602. The listed phone number is (202) 489-6118.

What is Jane Kutsushi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jane Kutsushi enrolled in Medicare?

Yes. Jane Kutsushi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jane Kutsushi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Kutsushi reassigns Medicare benefits to 2 organizations: Poa Sana Healthcare Services & Consultants LLC (Waldorf, MD) and Grow Healthcare Group PA (Miami, FL). 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 Jane Kutsushi'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 Jane Kutsushi was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.