SUSIE TUSHINGHAM PMHNP
NPI 1871211961
Nurse Practitioner - Psychiatric/Mental Health in Wyckoff, NJ

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
301 SICOMAC AVE, WYCKOFF, NJ 07481(201) 848-5781 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Aug 16, 2022 (2 updates tracked since 2022).

About Susie Tushingham Pmhnp NPPES

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

SUSIE TUSHINGHAM PMHNP (NPI 1871211961) is an individual psychiatric/mental health provider in Wyckoff, New Jersey, licensed in New Jersey (26NJ15165300) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871211961
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSUSIE TUSHINGHAMCredential: PMHNP
Location Address301 SICOMAC AVEWyckoff, NJ 07481-2159
Mailing Address301 Sicomac AveWyckoff, NJ 07481-2159
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 16, 2022
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
NPI 1871211961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NJ · 26NJ15165300
301 SICOMAC AVE, Wyckoff, NJ 07481

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susie Tushingham Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507390200
PECOS Enrollment IDI20241115003855
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 07481 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Speech-Language Pathologist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Physical Therapy Assistant
301 SICOMAC AVE
WYCKOFF, NJ 07481
Marriage & Family Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Physical Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481

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 Susie Tushingham's NPI number?

The NPI number for Susie Tushingham is 1871211961. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Susie Tushingham located?

Susie Tushingham practices at 301 Sicomac Ave, Wyckoff, NJ 07481. The listed phone number is (201) 848-5781.

What is Susie Tushingham's specialty?

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

Is Susie Tushingham enrolled in Medicare?

Yes. Susie Tushingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susie Tushingham was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.