Stephanie Lucas Aprn LLC
Organization Active NPI Family Nurse Practitioner · Falls of Rough, KY
NPI 1013704436 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1013704436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- STEPHANIE LUCAS APRN LLC
- Practice address
- 9275 S Highway 261
Falls of Rough, KY 40119-4121 - Phone
- (270) 903-7100
- NPI assigned
- Apr 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stephanie Lucas, APRN
- Title
- Owner
- Phone
- (270) 903-7100
Practitioners 1
-
Stephanie J Lucas, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250902001524 | KY | Part B Supplier - Clinic/Group Practice | 4082115985 |
Receives reassigned benefits from 1 practitioner Practice locations: Falls of Rough, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
9275 S Highway 261
Falls of Rough, KY 40119-4121
Mailing address
9275 S Highway 261
Falls of Rough, KY 40119-4121
Phone (270) 903-7100
Other providers in Falls of Rough, KY
All providers in Falls of Rough, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.