NUSSDORFERCNP LLC
NPI 1871203703
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Mason, MI

Q: What is Nussdorfercnp LLC's NPI number?

The NPI number for Nussdorfercnp LLC is 1871203703. It was assigned to this organization in the NPPES registry on December 1, 2022.

Q: What is Nussdorfercnp LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Q: When was this NPI record last updated?

The NPPES record for Nussdorfercnp LLC was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 01, 2022

806 HOGSBACK RD STE C, MASON, MI 48854(517) 213-8419 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2023, Dec 1, 2022 (2 updates tracked since 2022).

On this page

About Nussdorfercnp Llc NPPES

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

NUSSDORFERCNP LLC (NPI 1871203703) is a healthcare organization registered as a psychiatric/mental health, adult in Mason, Michigan and active in the NPI registry since December 2022. The organization lists Mary Beth Houpt, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1871203703

Entity TypeOrganization

Primary Taxonomy364SP0809X

Legal Business NameNUSSDORFERCNP LLC

Location Address806 HOGSBACK RD STE CMason, MI 48854-8525

Mailing AddressPo Box 10Mason, MI 48854-0010

Phone(517) 213-8419

Organization SubpartNo

Authorized OfficialMary Beth HouptCredentialing · (517) 676-9797

Enumeration DateDecember 1, 2022

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1871203703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0809X

806 HOGSBACK RD STE C, Mason, MI 48854

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nussdorfercnp Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nussdorfercnp LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shari Nussdorfer, C.N.P.

Nurse Practitioner

NPI 1093828030

806 HOGSBACK RD STE C
Mason, MI 48854

(517) 213-8419

✔ PECOS✔ Accepts MedicareSame address

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 Nussdorfercnp LLC's NPI number?

The NPI number for Nussdorfercnp LLC is 1871203703. It was assigned to this organization in the NPPES registry on December 1, 2022.

Where is Nussdorfercnp LLC located?

Nussdorfercnp LLC is located at 806 Hogsback Rd Ste C, Mason, MI 48854. The listed phone number is (517) 213-8419.

What is Nussdorfercnp LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Is Nussdorfercnp LLC enrolled in Medicare?

Yes. Nussdorfercnp LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nussdorfercnp LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nussdorfercnp LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nussdorfercnp LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nussdorfercnp LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nussdorfercnp LLC was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.