Active NPI
Samuel Lucas Lucio, FNP-C
- Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP135675
- Practice address
- 1139 E Sonterra Blvd Ste 405
San Antonio, TX 78258-4352 - Phone
- (210) 224-4811
- Fax
- (210) 224-1573
- NPI assigned
- Aug 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP135675 | TX | |
| Nurse Practitioner | 363L00000X | AP135675 | TX | Primary |
Addresses
Primary practice location
1139 E Sonterra Blvd Ste 405
San Antonio, TX 78258-4352
Mailing address
1139 E Sonterra Blvd Ste 405
San Antonio, TX 78258-4352
Phone (210) 224-4811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11230 W Ave
Suite 3201
San Antonio, TX 78213-1361
14342 Sonora BND
Helotes, TX 78023-4494
2000 Health Park Dr
Brentwood, TN 37027-4692
2235 Thousand Oaks Dr
Suite 115
San Antonio, TX 78232-3969
5900 Balcones Dr
Suite 100
Austin, TX 78731-4298
P O Box
Suite 701652
San Antonio, TX 78270-1652
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.46 of 100
- Quality
- 71.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135675 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Physician Practices, PLLC | Current | Accepting new patients |
Locations
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
250 E Basse Rd
Ste 107
San Antonio, TX 78209
Phone (210) 223-9617
111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195
1139 E Sonterra Blvd
Ste 405
San Antonio, TX 78258
Phone (210) 404-0000
Interoperability endpoints
- samuel.lucio@hca7.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Surgery Physician
- San Antonio, TX
- NPI 1922252717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1033634944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 E SONTERRA BLVD STE 405",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584352",
"telephone_number": "210-224-4811",
"fax_number": "210-224-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 E SONTERRA BLVD STE 405",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584352",
"telephone_number": "210-224-4811",
"fax_number": "210-224-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIO",
"first_name": "SAMUEL",
"middle_name": "LUCAS",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-11",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135675",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP135675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.