Individual provider Active NPI

Debra S Lusk, APRN

  • Nurse Practitioner
  • Leitchfield, KY
National Provider Identifier
1285866301
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006006 Issued in KY
Practice address
910 Wallace Ave
Suite 207
Leitchfield, KY 42754-2414
Phone
(270) 259-3593
Fax
(270) 259-2714
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3006006 KY Primary

Addresses

Primary practice location

910 Wallace Ave
Suite 207
Leitchfield, KY 42754-2414

Mailing address

4004 Dupont Cir
Suite 220
Louisville, KY 40207-4819
Phone (502) 893-0159

Other identifiers 1

IdentifierTypeStateIssuer
7100124430MedicaidKY

Other names 1

  • Debra S Mahurin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20091008000408 KY Practitioner - Nurse Practitioner 3779629589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

648 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 623-0535

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates Nurse Practitioner Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 26, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 14, 2020 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Jan 14, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 26, 2024 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients
Primary Care @ Home, LLC Nurse Practitioner Past Accepting new patients

Locations

534 Hillcrest Dr
Brandenburg, KY 40108
Phone (270) 422-5000

96 Future Dr
Corbin, KY 40701

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

333 S Main St
Leitchfield, KY 42754
Phone (270) 200-4983

4004 DuPont Cir
Ste 220
Louisville, KY 40207

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

145 Brookeway Dr
Mt Washington, KY 40047
Phone (502) 538-2430

650 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 351-3192

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

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": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1285866301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 DUPONT CIR",
            "address_2": "SUITE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074819",
            "telephone_number": "502-893-0159",
            "fax_number": "502-213-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "address_2": "SUITE 207",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-3593",
            "fax_number": "270-259-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100124430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MAHURIN",
            "middle_name": "S",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.