Individual provider Active NPI

John M Lucas, CRNA

  • Certified Registered Nurse Anesthetist
  • Beckley, WV
National Provider Identifier
1316306723
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AC002240 Issued in MD
Practice address
306 Stanaford Rd
Anesthesia Department
Beckley, WV 25801
Phone
(304) 255-3246
NPI assigned
Feb 12, 2016
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 76057 WV
Certified Registered Nurse Anesthetist 367500000X AC002240 MD Primary

Addresses

Primary practice location

306 Stanaford Rd
Anesthesia Department
Beckley, WV 25801

Mailing address

113 Pine LN
Morgantown, WV 26508-8827
Phone (304) 641-5484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160315002435 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597061622 Reassigns benefits to 4 organizations
I20180320000230 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597061622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Maryland LLCGroup PAC ID 1850283144, 47 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

12500 Willowbrook Rd
Western Maryland Health System
Cumberland, MD 21502-6393
Phone (240) 964-7000

900 Chestnut Ridge Rd
Morgantown, WV 26505-2807
Phone (304) 293-5299

930 Chestnut Ridge Rd
Morgantown, WV 26505-2807
Phone (304) 598-4214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Associates, Inc CurrentSince Jun 1, 2022 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Mar 1, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 1, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 1, 2016 Accepting new patients
Regional Eye Associates, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 30, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Apr 30, 2020 Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1255 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-3301

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1316306723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PINE LN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088827",
            "telephone_number": "304-641-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STANAFORD RD",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-255-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "76057",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "AC002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.