Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kimberly Joanne Lusk, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1285479055

Mrs. Kimberly Joanne Lusk, AGNP-C is a Nurse Practitioner in Lillington, North Carolina. Qualified in 2025, 1 year ago. Practices with North Carolina Mg LLC, a 712-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2024
Specialties on file
3

Practice location Address checks out

110 Pine State St
Lillington, NC 27546-9414
Phone: (910) 814-3201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5022519 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5022519 (NC)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 262585 (NC)

Record details

NPI number1285479055
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services