NPIMap

Individual provider Active NPI

Cathy Ann Lucas, CNP

  • Family Nurse Practitioner
  • Ottawa, OH
National Provider Identifier
1124695606
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02210405 Issued in OH
Practice address
575 Ottawa Glandorf Rd Ste 3
Ottawa, OH 45875-1932
Phone
(419) 523-4449
Fax
(419) 523-6328
NPI assigned
Jun 4, 2021
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02210405 OH Primary

Addresses

Primary practice location

575 Ottawa Glandorf Rd Ste 3
Ottawa, OH 45875-1932

Mailing address

18662 Road 20P
Fort Jennings, OH 45844-9112
Phone (419) 890-3267

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cathy.lucas@gastrohealth.eclinicaldirectplus.com GCGA Physicians Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210922001561 OH Practitioner - Nurse Practitioner 0749687499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

109 S Broad St
Kalida, OH 45853-2038
Phone (419) 227-8209

2793 Shawnee Rd
Lima, OH 45806-1444
Phone (419) 227-8209

2925 Vernon PL
Cincinnati, OH 45219-2425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02210405OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. CurrentSince Apr 17, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

2793 Shawnee Rd
Lima, OH 45806
Phone (419) 204-1501

Interoperability endpoints

  • Direct secure messaging: cathy.lucas@gastrohealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1124695606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18662 ROAD 20P",
            "city": "FORT JENNINGS",
            "state": "OH",
            "postal_code": "458449112",
            "telephone_number": "419-890-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 OTTAWA GLANDORF RD STE 3",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751932",
            "telephone_number": "419-523-4449",
            "fax_number": "419-523-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CATHY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F02210405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cathy.lucas@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ottawa, OH

Sources for this page

Verify at the official NPI Registry.