Active NPI
Debra S Lusk, APRN
- Nurse Practitioner
- Leitchfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3006006
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100124430 | Medicaid | KY |
Other names 1
- Debra S Mahurin
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
Enrollment records 1
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
Practice addresses (Care Compare)
648 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 623-0535
Hospital & facility affiliations
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Associates | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | 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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
- Rural Health Clinic/Center
- Richmond, KY
- NPI 1740758325
-
- Nurse Practitioner
- Radcliff, KY
- NPI 1366499931
-
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Rural Health Clinic/Center
- Bardstown, KY
- NPI 1184381444
-
- Family Medicine Physician
- Elizabethtown, KY
- NPI 1003137605
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.