NPIMap

Individual provider Active NPI

Marcie Dianne Lusk, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1699009001
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP118280 Issued in TX
Practice address
2503 S Gregg St Ste C
Big Spring, TX 79720-6583
Phone
(432) 606-5178
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 AP118280 TX Primary

Addresses

Primary practice location

2503 S Gregg St Ste C
Big Spring, TX 79720-6583

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 747-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000526 TX Practitioner - Nurse Practitioner 3870632318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

Practice addresses (Care Compare)

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP118280TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jul 10, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 10, 2017 Accepting new patients
Shannon Clinic CurrentSince Aug 15, 2021 Accepting new patients
Shannon Clinic PastSince Aug 15, 2021 Accepting new patients

Locations

2503 S Gregg St
Ste C
Big Spring, TX 79720
Phone (432) 606-5178

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1699009001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-747-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S GREGG ST STE C",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206583",
            "telephone_number": "432-606-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSK",
        "first_name": "MARCIE",
        "middle_name": "DIANNE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.