Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Crystal Nicole Cusin, AGACNP

Individual provider Registered Nurse · NPI 1467866004

Mrs. Crystal Nicole Cusin, AGACNP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2014, 12 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704245229 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704245229 (MI)

Record details

NPI number1467866004
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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