Individual provider Active NPI

Alexandra Poolson Lucas, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1245011402
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644
Phone
(717) 628-3725
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

2106 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Mailing address

6423 Kristin Dr
Hanover, MD 21076-2004
Phone (443) 537-7156

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
I20240314001184 PA Practitioner - Physician Assistant 4385080290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2106 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 393-1771

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

400 Davis Dr
Plymouth Meeting, PA 19462-1718
Phone (610) 825-2151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC CurrentSince Oct 1, 2024 Accepting new patients
Alliance Physician Services, PC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Lancaster Urology PC Single Specialty CurrentSince Jan 27, 2024 Accepting new patients
The Centers for Advanced Urology LLP Single Specialty CurrentSince Jan 27, 2024 Accepting new patients

Locations

175 Martin Ave
Ste 300
Ephrata, PA 17522
Phone (717) 723-4579

175 Martin Ave
Ephrata, PA 17522
Phone (717) 721-8222

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

2106 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (352) 365-6877

2110 Harrisburg Pike
Ste 1
Lancaster, PA 17601
Phone (717) 397-4254

1510 Cornwall Rd
Lebanon, PA 17042
Phone (717) 273-0662

1510 Cornwall Rd
Rear
Lebanon, PA 17042

140 W Germantown Pike
Ste 250
Plymouth Meeting, PA 19462
Phone (484) 530-0205

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: paalexandralucas@lancuro.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1245011402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 KRISTIN DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762004",
            "telephone_number": "443-537-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-628-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ALEXANDRA",
        "middle_name": "POOLSON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.