Individual provider Active NPI

Lauren Suzanne Lucero, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1306564893
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184887 Issued in VA
Practice address
2420 Maplewood Ave Unit G
Richmond, VA 23220-5700
Phone
(804) 504-8100
Fax
(804) 527-5865
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 0024184887 VA Primary

Addresses

Primary practice location

2420 Maplewood Ave Unit G
Richmond, VA 23220-5700

Mailing address

2420 Maplewood Ave Unit G
Richmond, VA 23220-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221013003749 VA Practitioner - Nurse Practitioner 3870969967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GMGP Health Group LLCGroup PAC ID 9436561800, 13 clinicians

Practice addresses (Care Compare)

95 Medical Park Blvd
Petersburg, VA 23805-9280
Phone (336) 816-2589

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024184887VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GMGP Health Group LLC CurrentSince Aug 29, 2022 Accepting new patients
Brian Dena DO LLC CurrentSince Feb 5, 2026 Accepting new patients

Locations

95 Medical Park Blvd
Petersburg, VA 23805
Phone (336) 816-2589

5700 Fitzhugh Ave
Richmond, VA 23226
Phone (804) 288-5700

Organizations & group practices 2

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 2

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1306564893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 MAPLEWOOD AVE UNIT G",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 MAPLEWOOD AVE UNIT G",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205700",
            "telephone_number": "804-504-8100",
            "fax_number": "804-527-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "LAUREN",
        "middle_name": "SUZANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.