Dustin Richard Husemann, ACNP-BC, PMHNP-BC - Medicare Nurse Practitioner in Flagstaff, AZ

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Dustin Richard Husemann, ACNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Flagstaff, Arizona. His current practice location is 914 N San Francisco St Ste D, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 985-1495.

Dustin Richard Husemann is licensed to practice in Arizona (license number AP11403) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548756794.

Contact Information

Dustin Richard Husemann, ACNP-BC, PMHNP-BC
914 N San Francisco St Ste D,
Flagstaff, AZ 86001-3254
(928) 985-1495
(928) 597-5198

Map and Direction




Provider's Profile

Full NameDustin Richard Husemann
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location914 N San Francisco St Ste D, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548756794
  • Provider Enumeration Date: 07/10/2018
  • Last Update Date: 06/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0749534980
  • Enrollment ID: I20181107000596

Medical Identifiers

Medical identifiers for Dustin Richard Husemann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548756794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AP11403 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209022157 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP11403 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dustin Richard Husemann allows following entities to bill medicare on his behalf.
Entity NameHonorhealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801092564
PECOS PAC ID: 1456258607
Enrollment ID: O20031216000350
Entity NameHonorhealth Ambulatory
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407050917
PECOS PAC ID: 5991603110
Enrollment ID: O20071005000449
Entity NamePhoenix Mental Health And Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396227609
PECOS PAC ID: 5294089033
Enrollment ID: O20181114003333
Entity NameOptum Behavioral Care Of Colorado, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942070370
PECOS PAC ID: 0941648463
Enrollment ID: O20240717001855

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin Richard Husemann is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dustin Richard Husemann, ACNP-BC, PMHNP-BC
3159 10th Ave N,
St Petersburg, FL 33713-6627

Ph: (503) 866-3772		Dustin Richard Husemann, ACNP-BC, PMHNP-BC
914 N San Francisco St Ste D,
Flagstaff, AZ 86001-3254

Ph: (928) 985-1495

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.