Individual provider Active NPI

Amanda Lusk, PA

  • Physician Assistant
  • Greensburg, IN
National Provider Identifier
1154792182
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001920A Issued in IN
Practice address
720 N Lincoln St
Greensburg, IN 47240-1327
Phone
(812) 663-4331
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001920A IN Primary

Addresses

Primary practice location

720 N Lincoln St
Greensburg, IN 47240-1327

Mailing address

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (317) 457-0586

Other names 1

  • Amanda Marcus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151103003094 IN Practitioner - Physician Assistant 9133439169 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians

Practice addresses (Care Compare)

26 Six Pine Ranch Rd
Batesville, IN 47006-1399
Phone (812) 934-6626

955 N Michigan Ave
4 DCMH Immediate Care
Greensburg, IN 47240-1487
Phone (812) 662-6450

Hospital & facility affiliations

  • Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001920AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Decatur County Memorial Hospital Current Accepting new patients
Decatur County Memorial Hospital CurrentSince Nov 1, 2015 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Nov 1, 2017 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

955 N Michigan Ave
Ste 4
Greensburg, IN 47240
Phone (812) 662-6450

Interoperability endpoints

  • Direct secure messaging: amanda.marcus@direct.dcmh.net

Organizations & group practices 7

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 1

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1154792182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401327",
            "telephone_number": "317-457-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401327",
            "telephone_number": "812-663-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001920A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MARCUS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.