Individual provider Active NPI

Lucille V Tussey, APRN FNP-BC

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1326514316
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016871 Issued in NC
Practice address
100 Ridge View Dr Ste 105
Cary, NC 27511-5589
Phone
(919) 851-7867
NPI assigned
Oct 17, 2018
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176350 VA
Family Nurse Practitioner 363LF0000X 5016871 NC Primary

Addresses

Primary practice location

100 Ridge View Dr Ste 105
Cary, NC 27511-5589

Mailing address

4705 University Dr BLDG 700
Durham, NC 27707-3489
Phone (919) 748-4899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191202002160 VA Practitioner - Nurse Practitioner 5991138117 Reassigns benefits to 1 organization
I20220927003581 NC Practitioner - Nurse Practitioner 5991138117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Missouri Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

1821 Martin Luther King Pkwy
Durham, NC 27707-6336
Phone (919) 748-4990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5016871NCMDFamily Nurse Practitioner
0024176350VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Oct 1, 2022 Accepting new patients
Beckwith Integrative Medicine, PLLC CurrentSince Oct 22, 2019 Accepting new patients

Locations

100 Ridge View Dr
Ste 105
Cary, NC 27511
Phone (919) 851-7867

1821 Martin Luther King Pkwy
Durham, NC 27707
Phone (919) 748-4980

3409 Hillsborough Rd
Ste 210B
Durham, NC 27705
Phone (919) 646-6577

4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337

10900 World Trade Blvd
Raleigh, NC 27617
Phone (919) 237-1337

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

952 Edwards Ferry Rd NE
Leesburg, VA 20176
Phone (240) 379-7776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1326514316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 UNIVERSITY DR BLDG 700",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073489",
            "telephone_number": "919-748-4899",
            "fax_number": "919-237-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR STE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-851-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSSEY",
        "first_name": "LUCILLE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176350",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.