Individual provider Active NPI

Christine Marie Lucas, M.D.

  • Family Medicine Physician
  • Anna, IL
National Provider Identifier
1346248374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-099486 Issued in IL
Practice address
513 N Main St
Anna, IL 62906-1668
Phone
(618) 833-4471
Fax
(618) 833-6267
NPI assigned
Jul 13, 2005
Reactivated
May 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-099486 IL Primary

Addresses

Primary practice location

513 N Main St
Anna, IL 62906-1668

Mailing address

513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471

Other practice location 1

400 S Broadway
Goreville, IL 62939-2484
Phone (618) 995-1002

Other practice location 2

1003 E 5th St
Metropolis, IL 62960-2311
Phone (618) 527-7499

Other identifiers 8

IdentifierTypeStateIssuer
036099486OtherILIDPA FEE FOR SERVICE
048870OtherILHEALTH ALLIANCE
415518OtherILHEALTHLINK
G96923OtherILTRICARE
G96923OtherILBLUE CROSS BLUE SHIELD
036-099486MedicaidIL
G96923OtherILUNITED HEALTHCARE RR MEDI
G96923OtherILCHAMPVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000544 IL Practitioner - Family Practice 6709901861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health, Inc.Group PAC ID 6800705427, 16 clinicians

Practice addresses (Care Compare)

513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-099486ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granite City Hospitalist Services LLC CurrentSince Mar 18, 2017 Accepting new patients
Rural Health, Inc. CurrentSince Mar 8, 2010 Accepting new patients
Rural Health, Inc. CurrentSince Mar 8, 2010 Accepting new patients
Rural Health, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rural Health, Inc. Past Accepting new patients

Locations

513 N Main St
Anna, IL 62906
Phone (618) 833-4471

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

211 N Broadway
Goreville, IL 62939
Phone (618) 995-1002

400 S Broadway
Goreville, IL 62939
Phone (618) 995-1002

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

1003 E 5th St
Metropolis, IL 62960
Phone (618) 524-3661

Interoperability endpoints

  • Direct secure messaging: christine.lucas.1@7601.direct.athenahealth.com
  • Direct secure messaging: clucas@yourcarecommunity.org

Organizations & group practices 6

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 7

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346248374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-4471",
            "fax_number": "618-833-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-4471",
            "fax_number": "618-833-6267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Goreville",
            "state": "IL",
            "postal_code": "629392484",
            "country_code": "US",
            "telephone_number": "618-995-1002",
            "fax_number": "618-995-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Metropolis",
            "state": "IL",
            "postal_code": "629602311",
            "country_code": "US",
            "telephone_number": "618-527-7499",
            "fax_number": "618-833-6267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-07-21",
        "deactivation_date": "2006-03-31",
        "reactivation_date": "2006-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-099486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPA FEE FOR SERVICE",
            "identifier": "036099486",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "048870",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "415518",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "G96923",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G96923",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-099486",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE RR MEDI",
            "identifier": "G96923",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPVA",
            "identifier": "G96923",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, IL

Sources for this page

Verify at the official NPI Registry.