Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Madeline Lusk, PA-C

Individual provider Medical Physician Assistant · NPI 1811447451

Miss. Madeline Lusk, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2016, 10 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Pennsylvania.

Years since qualifying
10
Licensed in
CO, PA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1725 E Boulder St Ste 101
Colorado Springs, CO 80909
Phone: (719) 365-6300
Fax: (719) 365-6094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1405 N Cedar Crest Blvd, Allentown, PA 18104-2308 — (610) 861-8080
  • 1405 N Cedar Crest Blvd, Allentown, PA 18104-2308 — (610) 861-8080

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0005909 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA058586 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA058586 (PA)

Record details

NPI number1811447451
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESAugust 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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