Individual provider Active NPI

Maja L. Lusk, RN

  • Family Nurse Practitioner
  • Farmington, UT
National Provider Identifier
1083008601
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
360092-4405 Issued in UT
Practice address
726 Emerald Oaks Dr
Farmington, UT 84025-4108
Phone
(801) 698-2082
NPI assigned
Mar 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 360092-3102 UT
Family Nurse Practitioner 363LF0000X 360092-4405 UT Primary

Addresses

Primary practice location

726 Emerald Oaks Dr
Farmington, UT 84025-4108

Mailing address

5121 S. Cottonwood St.
Murray, UT 84107-5701
Phone (801) 507-7673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230501001186 UT Practitioner - Nurse Practitioner 3476918269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians

Practice addresses (Care Compare)

3838 S 700
Suite 100
Salt Lake City, UT 84106-1494
Phone (801) 269-0231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
77.34
Promoting interoperability
90
Improvement activities
40
Cost
77.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
360092-3102UTMDRegistered Nurse
360092-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Cancer Specialists PC CurrentSince Apr 17, 2023 Accepting new patients
Utah Cancer Specialists PC PastSince Nov 30, 2025 Accepting new patients

Locations

1492 W Antelope Dr
Ste 125
Layton, UT 84041
Phone (801) 525-3022

1121 E 3900 S
Ste C230
Salt Lake City, UT 84124

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1083008601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 S. COTTONWOOD ST.",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-507-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 EMERALD OAKS DR",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840254108",
            "telephone_number": "801-698-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "MAJA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "360092-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "360092-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

Verify at the official NPI Registry.