Ioana Melania Lustrea, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11027722 Issued in FL

Practice address

13715 Richmond Park Dr N Unit 401
Jacksonville, FL 32224-5277

Phone

(904) 593-8514

Fax

(904) 593-8515

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Surgical Associates Inc.Group PAC ID 5395779359, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayo Clinic Hospital, Jacksonville, FL, CCN 100151
• Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/PlW-EjC8LXq2pLtfi8pP4Fb9PQcNWAMu/
• FHIR API: https://fhir4.healow.com/fhir/r4/HFEDCD

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.

• First Coast Surgical Associates Inc

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1548249543
  Medicare reassignment Care Compare group NPD
• Vip Specialties of Florida

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1790499812
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mayo Clinic Florida

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1891782470
  Care Compare affiliation
• St Lukes - St Vincents Healthcare

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1396926747
  Care Compare affiliation

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1487411039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13715 RICHMOND PARK DR N UNIT 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245277",
            "telephone_number": "904-593-8514",
            "fax_number": "904-593-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13715 RICHMOND PARK DR N UNIT 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245277",
            "telephone_number": "904-593-8514",
            "fax_number": "904-593-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTREA",
        "first_name": "IOANA",
        "middle_name": "MELANIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN9234293",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11027722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille F Lupianez-Merly, MD
• Natalie Lupoli, P.A.
• Mattie G Lusco
• Michael Walter Lusko, D.O.
• Betty E Lustig, MED/LMHC
• Charlene Lute, LMT
• Jamison Luten, APRN, CWOCN, EMT-P
• Robert Cornelius Luten, M.D.
• Johnathan Mark Luth, DO
• Ian Joseph Luther, DPT

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.