Individual provider Active NPI

Rickell Jean Lusk, NP

  • Nurse Practitioner
  • Ghent, WV
National Provider Identifier
1295214583
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
81121 Issued in WV
Practice address
2750 Flat Top Road
Ghent, WV 25843
Phone
(681) 238-0644
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 81121 WV Primary

Addresses

Primary practice location

2750 Flat Top Road
Ghent, WV 25843

Mailing address

1844 Harper Rd
Beckley, WV 25801-3366
Phone (304) 250-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20181031000000 WV Practitioner - Nurse Practitioner 1557614039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Bill Baker Way
Beckley, WV 25801-1505

1844 Harper Rd
Beckley, WV 25801-3366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Community Health Systems Inc CurrentSince Jul 6, 2020 Accepting new patients
Associates in OB GYN, Inc Past Accepting new patients

Locations

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

2750 Flat Top Rd
Ghent, WV 25843
Phone (681) 238-0644

300 Hinton Rd
Shady Spring, WV 25918
Phone (304) 252-8551

Interoperability endpoints

  • Direct secure messaging: ric.kell.lusk.1@14333.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1295214583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "304-250-0307",
            "fax_number": "304-250-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 FLAT TOP ROAD",
            "city": "GHENT",
            "state": "WV",
            "postal_code": "25843",
            "telephone_number": "681-238-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "RICKELL",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "81121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ghent, WV

Sources for this page

Verify at the official NPI Registry.