Carol Isaac Mackusick, AGNP-C
Nurse Practitioner, Adult Health in Brevard, NC. Individual provider (NPI-1).
NPI number1508322504
StatusActive
Last updated in NPPESNov 15, 2024
Details
- NPI
- 1508322504
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carol Isaac Mackusick
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2019
- Certification date
- Nov 15, 2024
- Last updated
- Nov 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | MACK-18NGWV | NC | Yes |
| 363L00000X | Nurse Practitioner | 5011510 | NC |
Practice location
89 Hospital Dr Ste BBrevard, NC 28712-4838
Phone 828-333-4806 · Fax 828-883-3331
Mailing address
89 Hospital Dr Ste BBrevard, NC 28712-4838
Phone 828-333-4806
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Other Adult Health Nurse Practitioner providers in Brevard, NC
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