JENNIFER SUSAN TUSTISON FNP, PMHNP
NPI 1710646435
Nurse Practitioner - Psychiatric/Mental Health in Newport Beach, CA

Q: What is Jennifer Tustison's NPI number?

The NPI number for Jennifer Tustison is 1710646435. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Q: What is Jennifer Tustison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tustison was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 09, 2021

2549 EASTBLUFF DR STE B-757, NEWPORT BEACH, CA 92660(949) 409-7079(949) 220-2605 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Jul 15, 2022, Dec 9, 2021 (3 updates tracked since 2021).

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About Jennifer Susan Tustison Fnp, Pmhnp NPPES

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

JENNIFER SUSAN TUSTISON FNP, PMHNP (NPI 1710646435) is an individual psychiatric/mental health provider in Newport Beach, California, licensed in California (95017876) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1710646435

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER SUSAN TUSTISONCredential: FNP, PMHNP

Location Address2549 EASTBLUFF DR STE B-757Newport Beach, CA 92660-3500

Mailing Address2549 Eastbluff Dr Ste B-757Newport Beach, CA 92660-3500 · (949) 409-7079 · Fax (949) 220-2605

Phone(949) 409-7079

Fax(949) 220-2605

Sole ProprietorNo

Enumeration DateDecember 9, 2021

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1710646435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95017876

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95017876 (CA)

2549 EASTBLUFF DR STE B-757, Newport Beach, CA 92660

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Susan Tustison Fnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Harbor Psychiatry & Mental Health, Professional Corporation

2.1 mi

Psychiatry

4631 TELLER AVE STE 100
Newport Beach, CA 92660

Reassigned Medicare billing, California enrollment
31 clinicians in this Medicare group

NPI 1780050054 (949) 887-7187

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

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 Jennifer Tustison's NPI number?

The NPI number for Jennifer Tustison is 1710646435. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Jennifer Tustison located?

Jennifer Tustison practices at 2549 Eastbluff Dr Ste B-757, Newport Beach, CA 92660. The listed phone number is (949) 409-7079.

What is Jennifer Tustison's specialty?

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

Is Jennifer Tustison enrolled in Medicare?

Yes. Jennifer Tustison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Tustison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Tustison reassigns Medicare benefits to Harbor Psychiatry & Mental Health, Professional Corporation (Newport Beach, CA). 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 Jennifer Tustison'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 Jennifer Tustison was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.