Individual provider Active NPI

Lucie Bandelac, MD

  • Family Medicine Physician
  • Stroudsburg, PA
National Provider Identifier
1104566009
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD488999 Issued in PA
Practice address
100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone
(484) 526-6643
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD488999 PA Primary

Addresses

Primary practice location

100 St Lukes LN
Stroudsburg, PA 18360-6217

Mailing address

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250627003928 PA Practitioner - Family Practice 9032622568 Reassigns benefits to 2 organizations
I20250725003735 NJ Practitioner - Family Practice 9032622568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group Inc 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Luke'S Home Health Home health agency, Bethlehem, PA, CCN 397002
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD488999PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Aug 4, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 4, 2025 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 4, 2025 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 4, 2025 Accepting new patients
Gslpg, Inc CurrentSince Aug 4, 2025 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
St. Luke'S Hospital Monroe Campus Past Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
Gslpg Inc Family Medicine Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

185 Roseberry St
#2
Phillipsburg, NJ 08865

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-4340

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1104566009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ST LUKES LN",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606217",
            "telephone_number": "484-526-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST LUKES LN",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606217",
            "telephone_number": "484-526-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDELAC",
        "first_name": "LUCIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD488999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.