NPIMap

Individual provider Active NPI

Ellen Marie Lucca, FNP-C

  • Family Nurse Practitioner
  • Hawley, PA
National Provider Identifier
1023652070
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021781 Issued in PA
Practice address
702 Church St
Hawley, PA 18428-1412
Phone
(272) 336-0101
Fax
(272) 336-8124
NPI assigned
Nov 3, 2019
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP021781 PA Primary
Registered Nurse 163W00000X RN591454 PA

Addresses

Primary practice location

702 Church St
Hawley, PA 18428-1412

Mailing address

702 Church St
Hawley, PA 18428-1412
Phone (272) 336-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709003143 PA Practitioner - Nurse Practitioner 9234552167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Lucca Group LLCGroup PAC ID 2062887425, 3 clinicians

Practice addresses (Care Compare)

2489 Route 6
Suite 7
Hawley, PA 18428-6144

702 Church St
Hawley, PA 18428-1412
Phone (272) 338-0101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN591454PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Lucca Group LLC Registered Nurse CurrentSince Jan 30, 2023 Accepting new patients
The Northwest New Jersey Medical-Surgical Alliance P C PastSince Jul 9, 2020 Accepting new patients
Scranton Cardiovascular Physician Services LLC Past Accepting new patients

Locations

150 Noble Ln
Bethany, PA 18431
Phone (272) 336-0101

2489 Route 6
Ste 7
Hawley, PA 18428
Phone (212) 227-5400

702 Church St
Hawley, PA 18428
Phone (272) 336-0101

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1023652070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CHURCH ST",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281412",
            "telephone_number": "272-336-0101",
            "fax_number": "272-336-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CHURCH ST",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281412",
            "telephone_number": "272-336-0101",
            "fax_number": "272-336-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCA",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021781",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN591454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawley, PA

Sources for this page

Verify at the official NPI Registry.