Individual provider Active NPI

Sharon K Lucus, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1174581102
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
10824 Issued in TN
Practice address
1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Phone
(901) 448-2300
Fax
(901) 448-6657
NPI assigned
May 1, 2006
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 10824 TN Primary

Addresses

Primary practice location

1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113

Mailing address

66 N Pauline St
Suite 206
Memphis, TN 38105-5105
Phone (901) 448-7642

Other identifiers 1

IdentifierTypeStateIssuer
3630284MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100422000294 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002943149 Reassigns benefits to 8 organizations
I20160106001060 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002943149 Reassigns benefits to 1 organization
I20201215000567 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002943149 Reassigns benefits to 1 organization
I20260223000523 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002943149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midsouth Speciality Anesthesia Services LLCGroup PAC ID 6103293667, 29 clinicians
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094

1750 Madison Ave
Suite 300
Memphis, TN 38104-6428
Phone (901) 390-2930

312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930

403 Getwell Dr
Senatobia, MS 38668-2213
Phone (901) 390-2930

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10824TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Midsouth Speciality Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2022 Accepting new patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2016 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jan 20, 2021 Accepting new patients
Lauderdale Community Hospital LLC Current Accepting new patients
Gastroenterology Center of the Midsouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients
Medical Anesthesia Group, PA CurrentSince Jun 15, 2012 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 2, 2026 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Mar 15, 2012 Accepting new patients
Phillip R. Bowden, M.D.,P.a. CurrentSince Aug 20, 2002 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jan 20, 2021 Accepting new patients
Methodist Healthcare Primary Care Associates Past Accepting new patients
Interventional Associates of Memphis, PC Past Accepting new patients
Cah Acquisition Company 11 LLC Past Accepting new patients
Health 360 PLLC PastSince Jan 21, 2024 Accepting new patients
Cah Acquisition Company 11 LLC Past Accepting new patients

Locations

312 S Rhodes St
West Memphis, AR 72301
Phone (870) 733-1240

403 Getwell Dr
Senatobia, MS 38668
Phone (662) 301-2130

Gastro Onegovt Arhcl
New York, NY 10087

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

1717 Kirby Pkwy
Memphis, TN 38120
Phone (901) 272-7200

1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

326 Asbury Ave
Ste 104
Ripley, TN 38063
Phone (731) 221-2200

340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

3301 S 14th St
Ste 16180
Abilene, TX 79605

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

Organizations & group practices 18

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.

View all 18

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1174581102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N PAULINE ST",
            "address_2": "SUITE 206",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055105",
            "telephone_number": "901-448-7642",
            "fax_number": "901-448-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NONCONNAH BLVD",
            "address_2": "SUITE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322113",
            "telephone_number": "901-448-2300",
            "fax_number": "901-448-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCUS",
        "first_name": "SHARON",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3630284",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.