Shelby Lucas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1325 Issued in OK

Practice address

908 N Rockford Road
Suite a
Ardmore, OK 73401-2541

Phone

(580) 226-7771

Fax

(580) 226-7788

NPI assigned

Aug 5, 2006

Last updated

Aug 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Norman Psychiatry Aprn-CNP PLLCGroup PAC ID 3971866484, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Norman Psychiatry Aprn-CNP PLLC

  • Psychiatry Physician
  • Norman, OK
  • NPI 1043728587
  Medicare reassignment Care Compare group
• Millennium Medical Services, L.L.C.

  • Psychiatry Physician
  • Norman, OK
  • NPI 1245286285
  Medicare reassignment
• Classen Family Practice LLC

  dba Classen Family Medicine

  • Family Medicine Physician
  • Norman, OK
  • NPI 1861732992
  NPD
• Classen Urgent Care Clinic LLC

  dba Classen Urgent Care - Moore

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1720589351
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1316956998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD ROAD",
            "address_2": "SUITE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012541",
            "telephone_number": "580-226-7771",
            "fax_number": "580-226-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD ROAD",
            "address_2": "SUITE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012541",
            "telephone_number": "580-226-7771",
            "fax_number": "580-226-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SHELBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200043090B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Loughridge
• Frelyn G Loughridge, APRN-CNP
• Nikkie Nicole Love, BHWC
• Mariah Lucas
• Rebecca Lucas, SLP
• Ashlyn Lucase
• Lilianna Lucio
• Kylee Lunsford
• Lynch Family Services LLC
• Kylie Lynch

• Physician Assistant in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.