Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin Eusebio, MSN, RN, PMHNP-BC

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1073166112

Mr. Justin Eusebio, MSN, RN, PMHNP-BC is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2019, 7 years ago. Practices with Edward M Kennedy Community Health Center Inc, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

19 Tacoma St
Worcester, MA 01605-3516
Phone: (508) 595-1115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Friberg Pkwy, Westborough, MA 01581-3900 — (508) 329-6300

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2320812 (MA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN2320812 (MA)

Record details

NPI number1073166112
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , RN , PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 18, 2019
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Edward M Kennedy Community Health Center Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Edward M Kennedy Community Health Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 65 clinicians in the practice; 12 are shown here.

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