Individual provider Active NPI

Mary Lushina, APRN, FNP-BC

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1376097295
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002279 Issued in NV
Practice address
690 Sierra Rose Dr
Reno, NV 89511-2072
Phone
(775) 770-3081
Fax
(775) 770-6904
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002279 NV Primary

Addresses

Primary practice location

690 Sierra Rose Dr
Reno, NV 89511-2072

Mailing address

690 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 770-3081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160930001212 NV Practitioner - Nurse Practitioner 5799072997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Regional HealthcareGroup PAC ID 1759284862, 20 clinicians

Practice addresses (Care Compare)

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002279NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary'S Medical Group Inc CurrentSince Oct 1, 2016 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Sep 10, 2016 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Sep 10, 2016 Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Oct 1, 2016 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1201 S Carson St
Carson City, NV 89701
Phone (775) 445-7330

1201 S Carson St
Ste 200
Carson City, NV 89701

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

690 Sierra Rose Dr
Reno, NV 89511
Phone (775) 351-8544

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 2

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1376097295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-770-3081",
            "fax_number": "775-770-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-770-3081",
            "fax_number": "775-770-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSHINA",
        "first_name": "MARY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.