Jessica Summer Lucero, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN000861 Issued in NV

Practice address

500 E Windmill Lane
Suite 125
Las Vegas, NV 89123-1836

Phone

(702) 263-4795

Fax

(702) 263-4804

NPI assigned

Nov 14, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Sundance Medical Center LLP

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1447301973
  Medicare reassignment NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1487726519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WINDMILL LANE",
            "address_2": "SUITE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231836",
            "telephone_number": "702-263-4795",
            "fax_number": "702-263-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WINDMILL LANE",
            "address_2": "SUITE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231836",
            "telephone_number": "702-263-4795",
            "fax_number": "702-263-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "JESSICA",
        "middle_name": "SUMMER",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "APN000861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.lucerofnp@direct.sundancemedical.nextgenshare.com",
            "affiliation": "N",
            "address_1": "500 E Windmill Lane",
            "address_2": "Suite 125",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891231836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolina Lucero
• Christian Lucero
• Denise Lynn Lucero
• Gabriel Ernest Lucero
• Heather Lucero
• Kenia Lucero
• Lourdes Lucero
• Mariah Estrada Lucero
• Mariana Margo Lucero, DO, MS
• Michael Lucero

• Adult Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.