Carol Isaac Mackusick, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

MACK-18NGWV Issued in NC

Practice address

89 Hospital Dr Ste B
Brevard, NC 28712-4838

Phone

(828) 333-4806

Fax

(828) 883-3331

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carol.mackusick.1@26812.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Hopscotch Primary Care, PLLC

  dba Hopscotch Primary Care

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1265716922
  Medicare reassignment
• Eventus Wholehealth, PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1548759392

  Nurse Practitioner

  NPD (past)
• Hopscotch Primary Care Group, PA

  dba Hopscotch Primary Care

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1831306992
  NPD (past)
• Raleigh Durham Medical Group PA

  dba Cannon Family Health

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1326209289
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1508322504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL DR STE B",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124838",
            "telephone_number": "828-333-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL DR STE B",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124838",
            "telephone_number": "828-333-4806",
            "fax_number": "828-883-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKUSICK",
        "first_name": "CAROL",
        "middle_name": "ISAAC",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011510",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "MACK-18NGWV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Hughes Lorch, DMD
• Gina Marie Lothamer, CPNP
• Vangeny Louis Baptiste
• Leah Marie Love, PHARM. D.
• Luckie Products and Goods (Whole Heart Healing)
• Lori Dawn Mahala, LCSW, LCAS-A
• Charles Mahon, DPT
• Patricia Lane Maier, PH.D.
• Kathleen L Mallet, LPC
• Kimberly Lynn Marchisin

• Adult Health Nurse Practitioner in Brevard, NC
• Providers in Brevard, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.