Sushma Gurung, NP - Medicare Nurse Practitioner in Springfield, MA

Sushma Gurung, NP is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Massachusetts. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Caring Health Center, Inc and her current practice location is 1049 Main St, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 739-1100.

Sushma Gurung is licensed to practice in Massachusetts (license number RN2326337) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043563653.

Contact Information

Sushma Gurung, NP
1049 Main St,
Springfield, MA 01103-2114
(413) 739-1100
(413) 735-1133

Map and Direction




Provider's Profile

Full NameSushma Gurung
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1049 Main St, Springfield, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sushma Gurung graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1043563653
  • Provider Enumeration Date: 10/19/2012
  • Last Update Date: 01/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981926029
  • Enrollment ID: I20230424002790

Medical Identifiers

Medical identifiers for Sushma Gurung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043563653NPI-NPPES
MG1165946NOtherMAMCSR NO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN2326337 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CtrSpringfield, MAHospital
Baystate Medical CenterSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Caring Health Center, Inc731584038632

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. Sushma Gurung allows following entities to bill medicare on her behalf.
Entity NameCaring Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659476356
PECOS PAC ID: 7315840386
Enrollment ID: O20040128000503

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. Sushma Gurung 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
Sushma Gurung, NP
1049 Main St,
Springfield, MA 01103-2114

Ph: (413) 739-1100
Sushma Gurung, NP
1049 Main St,
Springfield, MA 01103-2114

Ph: (413) 739-1100

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.