Individual provider Active NPI

Kayla Hamrick Lussier, NP

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1497127658
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8149392-3102 Issued in UT
Practice address
27450 Ynez Rd Ste 100
Temecula, CA 92591-4649
Phone
(951) 383-4333
Fax
(951) 506-2361
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 8149392-3102 UT Primary

Addresses

Primary practice location

27450 Ynez Rd Ste 100
Temecula, CA 92591-4649

Mailing address

27450 Ynez Rd Ste 100
Temecula, CA 92591-4649
Phone (951) 383-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210119001468 CA Practitioner - Nurse Practitioner 3577863596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.66 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
52.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8149392-3102UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Lundquist MD Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

27450 Ynez Rd
Ste 100
Temecula, CA 92591
Phone (951) 302-6664

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCIFBD

Organizations & group practices 1

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1497127658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914649",
            "telephone_number": "951-383-4333",
            "fax_number": "801-812-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914649",
            "telephone_number": "951-383-4333",
            "fax_number": "951-506-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSSIER",
        "first_name": "KAYLA",
        "middle_name": "HAMRICK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8149392-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.