Individual provider Active NPI

Lindsey Lucero, APNP, FNP-BC

  • Family Nurse Practitioner
  • Medford, WI
National Provider Identifier
1154576189
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7259 Issued in WI
Practice address
143 S Gibson St
Medford, WI 54451-1622
Phone
(715) 748-2121
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 150645-030 WI
Family Nurse Practitioner 363LF0000X 7259 WI Primary

Addresses

Primary practice location

143 S Gibson St
Medford, WI 54451-1622

Mailing address

3430 E Main St
Merrill, WI 54452-9001
Phone (715) 393-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170111003234 WI Practitioner - Nurse Practitioner 1355622010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de Los Campesinos, Inc 21 clinicians

Practice addresses (Care Compare)

302 W Lake St
Friendship, WI 53934-9698
Phone (608) 474-4355

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
90.06
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
150645-030WIMDHome Health Registered Nurse
7259WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Los Campesinos, Inc Family CurrentSince Mar 25, 2024 Accepting new patients
La Clinica de Los Campesinos, Inc CurrentSince Mar 25, 2024 Accepting new patients

Locations

1701 N Spring St
Beaver Dam, WI 53916
Phone (920) 644-0317

302 W Lake St
Friendship, WI 53934
Phone (608) 339-3326

3125 Main St
Stevens Point, WI 54481
Phone (715) 254-9072

400 S Townline Rd
Wautoma, WI 54982
Phone (920) 647-8984

400 S Townline Rd
#120
Wautoma, WI 54982

Interoperability endpoints

  • Direct secure messaging: llucero696966@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1154576189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E MAIN ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529001",
            "telephone_number": "715-393-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511622",
            "telephone_number": "715-748-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "LINDSEY",
        "credential": "APNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "150645-030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

Verify at the official NPI Registry.