DUSTIN RICHARD HUSEMANN (ACNP-BC, PMHNP-BC) – Acute Care Nurse Practitioner, NPI 1548756794
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,504 NURSE PRACTITIONER in AZ
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Provider Addresses for DUSTIN RICHARD HUSEMANN (ACNP-BC, PMHNP-BC)
8717 CASHEL DR
PEOSTA, IA 520687900
Phone: (503) 866-3772
Type: Mailing
2416, West Silver Sage Lane, Phoenix, Maricopa County, Arizona, 85085, United States
PHOENIX, AZ 850855741
Phone: (503) 866-3772
Type: Mailing
North 40th Street, Phoenix, Maricopa County, Arizona, 85050-4206, United States
PHOENIX, AZ 850323354
Phone: (602) 633-3722
Fax: (602) 595-1127
Type: Location
914 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ 860013254
Phone: (928) 985-1495
Fax: (928) 597-5198
Type: Location
447 52nd Ave S
St Petersburg, FL 337054951
Phone: (808) 745-1999
Type: Location
1655 S Blue Island Ave Ste 382
Chicago, IL 606082133
Phone: (319) 481-8077
Fax: (319) 242-7958
Type: Location
3159 10TH AVE N
ST PETERSBURG, FL 337136627
Phone: (503) 866-3772
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181107000596 | I | Nurse Practitioner | AZ | TBD |
| I20220705001304 | I | Nurse Practitioner | IA | TBD |
| I20241001003492 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ |
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