Individual provider Active NPI

Rachel Marie Lucullo, CRNP

  • Family Nurse Practitioner
  • Dayton, PA
National Provider Identifier
1194465567
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025321 Issued in PA
Practice address
8958 State Route 85
Dayton, PA 16222-3424
Phone
(724) 448-2128
NPI assigned
Mar 31, 2022
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 SP025321 PA Primary

Addresses

Primary practice location

8958 State Route 85
Dayton, PA 16222-3424

Mailing address

8958 State Route 85
Dayton, PA 16222-3424
Phone (724) 448-2128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220517000648 PA Practitioner - Nurse Practitioner 0446637219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
55.15 of 100Reported as group
Quality
25.54
Promoting interoperability
0
Improvement activities
40
Cost
74.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Medical Associates, PC CurrentSince May 15, 2025 Accepting new patients
Numedx CurrentSince Apr 1, 2022 Accepting new patients
Personal Care Medical Associates LLC CurrentSince May 1, 2024 Accepting new patients
Doctors Choice Chiropractic Pain Relief and Rehabilitation Center,P.C. PastSince Apr 1, 2022 Accepting new patients

Locations

612 N Main St
Butler, PA 16001
Phone 72443107702101

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

19466 Route 119 Hwy N
Punxsutawney, PA 15767
Phone (814) 618-5286

313 N Main St
Punxsutawney, PA 15767
Phone (814) 618-5295

120 Lakeside Dr
Worthington, PA 16262
Phone (724) 445-3000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1194465567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8958 STATE ROUTE 85",
            "city": "DAYTON",
            "state": "PA",
            "postal_code": "162223424",
            "telephone_number": "724-448-2128",
            "fax_number": "724-448-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8958 STATE ROUTE 85",
            "city": "DAYTON",
            "state": "PA",
            "postal_code": "162223424",
            "telephone_number": "724-448-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCULLO",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, PA

Sources for this page

Verify at the official NPI Registry.