Active NPI
Lucas Charles Mariano, CRNP
- Nurse Practitioner
- Williamsport, PA
National Provider Identifier
1003562935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP025329
- Practice address
- 740 High St Ste 3002
Williamsport, PA 17701-3102 - Phone
- (570) 321-2820
- Fax
- (570) 321-2821
- NPI assigned
- Mar 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP025329 | PA | Primary |
Addresses
Primary practice location
740 High St Ste 3002
Williamsport, PA 17701-3102
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lucas.c.mariano@upmcdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
740 High St
Suite 3002
Williamsport, PA 17701-3102
Phone (570) 321-2820
Hospital & facility affiliations
- Upmc Williamsport
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 62.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025329 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Current | Accepting new patients | |
| Susquehanna Physician Services | Current | Accepting new patients | |
| Susquehanna Physician Services | Nurse Practitioner | Past | Accepting new patients |
Locations
2330 Saint Mary St W
Lewisburg, PA 17837
Phone (570) 522-8637
1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
700 High St
#P
Williamsport, PA 17701
Phone (570) 321-2619
740 High St
Ste 3002
Williamsport, PA 17701
Phone (570) 321-2820
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Williamsport, PA
- NPI 1629006606
-
- Radiology Clinic/Center
- Mansfield, PA
- NPI 1073361564
-
- Family Medicine Physician
- South Williamsport, PA
- NPI 1780631226
Nurse Practitioner
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1609801976
-
- Psychiatric Hospital Unit
- Williamsport, PA
- NPI 1649746488
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1740365097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1003562935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 HIGH ST STE 3002",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013102",
"telephone_number": "570-321-2820",
"fax_number": "570-321-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIANO",
"first_name": "LUCAS",
"middle_name": "CHARLES",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-01",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP025329",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lucas.c.mariano@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "600 Grant St Fl 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.