Individual provider Active NPI

Jessica Lucero, NP

  • Family Nurse Practitioner
  • Boone, NC
National Provider Identifier
1164056537
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LUCE-CU9H6 Issued in NC
Practice address
336 Deerfield Rd
Boone, NC 28607-5008
Phone
(828) 262-4100
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 LUCE-CU9H6 NC Primary

Addresses

Primary practice location

336 Deerfield Rd
Boone, NC 28607-5008

Mailing address

2603 Mountain Dale Rd
Vilas, NC 28692-9406
Phone (919) 888-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200415003541 NC Practitioner - Nurse Practitioner 8325478399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Practice addresses (Care Compare)

169 Doctors Dr
Boone, NC 28607-5017
Phone (828) 262-4133

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

338 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

Hospital & facility affiliations

  • Watauga Medical Center Hospital, Boone, NC, CCN 340051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LUCE-CU9H6NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Sep 13, 2022 Accepting new patients
Appalachian Regional Medical Associates, Inc. CurrentSince Jun 2, 2020 Accepting new patients
Watauga Medical Center Inc CurrentSince Mar 24, 2020 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Appalachian Regional Behavioral Healthcare Inc Current Accepting new patients
Appalachian Regional Behavioral Healthcare Inc CurrentSince Sep 13, 2022 Accepting new patients
Watauga Medical Center Inc CurrentSince Mar 24, 2020 Accepting new patients
Watauga Medical Center, Inc. Past Accepting new patients

Locations

965 State Farm Rd
Boone, NC 28607
Phone (704) 264-2340

169 Doctors Dr
Boone, NC 28607
Phone (828) 262-9520

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

Interoperability endpoints

  • Direct secure messaging: jessicalucero@arhs.allscriptsdirect.net
  • Direct secure messaging: jlucero1013754@direct.unc.nchie.net

Organizations & group practices 8

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 1

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1164056537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 MOUNTAIN DALE RD",
            "city": "VILAS",
            "state": "NC",
            "postal_code": "286929406",
            "telephone_number": "919-888-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "828-262-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "LUCE-CU9H6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.