Individual provider Active NPI

Amy Lukacz

  • Psychiatric/Mental Health Nurse Practitioner
  • Utica, NY
National Provider Identifier
1497063978
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401293 Issued in NY
Practice address
502 Court St
204
Utica, NY 13502-4233
Phone
(315) 792-7626
NPI assigned
Sep 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401293 NY Primary

Addresses

Primary practice location

502 Court St
204
Utica, NY 13502-4233

Mailing address

1656 Champlin Ave
204
Utica, NY 13502-4830
Phone (315) 801-3282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120208000270 NY Practitioner - Nurse Practitioner 3678730355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians
Charles T. Sitrin Health Care Center IncGroup PAC ID 4284613563, 14 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

2050 Tilden Ave
New Hartford, NY 13413-3613
Phone (315) 797-3114

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
401293NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles T. Sitrin Health Care Center, Inc CurrentSince Apr 29, 2022 Accepting new patients
The Neighborhood Center, Inc. CurrentSince Aug 23, 2024 Accepting new patients
Charles T Sitrin Health Care Center, Inc CurrentSince Apr 29, 2022 Accepting new patients
Psychiatric Services of Central New York Past Accepting new patients
Cap Medical, LLC Past Accepting new patients
Cap Medical Group PLLC Past Accepting new patients

Locations

2050 Tilden Ave
New Hartford, NY 13413
Phone (315) 737-2466

624 Elizabeth St
Utica, NY 13501
Phone (315) 272-2600

Interoperability endpoints

  • Direct secure messaging: alukacz22264@mvhealthsystem.direct-ci.com

Organizations & group practices 7

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": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1497063978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "204",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COURT ST",
            "address_2": "204",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024233",
            "telephone_number": "315-792-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKACZ",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.