Individual provider Active NPI

Schuyler Lucio

  • Adult Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1346669090
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18252 Issued in TN
Practice address
1916 20TH Ave S
Nashville, TN 37212-3712
Phone
(202) 503-7646
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 18252 TN Primary

Addresses

Primary practice location

1916 20TH Ave S
Nashville, TN 37212-3712

Mailing address

1916 20TH Ave S
Nashville, TN 37212-3712
Phone (202) 503-7646

Other names 1

  • Schuyler Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220831000715 TN Practitioner - Nurse Practitioner 0446634026 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brownsville Medical Clinic, P.a.Group PAC ID 0547339772, 61 clinicians
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

2565 N Washington Ave
Brownsville, TN 38012-1610

3939 Hillsboro Cir
Nashville, TN 37215-2708
Phone (615) 297-2100

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

6961 Hwy 70 S
Nashville, TN 37221-2204
Phone (615) 673-6922

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18252TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 23, 2024 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Sep 25, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Sep 25, 2023 Accepting new patients
BH Services Southeast 1 PC Past Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

2565 N Washington Ave
Brownsville, TN 38012
Phone (731) 772-4199

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

438 N Water Ave
Gallatin, TN 37066
Phone (615) 452-2322

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1346669090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 20TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123712",
            "telephone_number": "202-503-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 20TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123712",
            "telephone_number": "202-503-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "SCHUYLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "18252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCHUYLER",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.