Individual provider Active NPI

Amber Denise Luck, CRNP

  • Family Nurse Practitioner
  • White Plains, MD
National Provider Identifier
1508575127
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R204568 Issued in MD
Practice address
4200 Altamont PL
White Plains, MD 20695-3052
Phone
(301) 645-2774
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R204568 MD Primary

Addresses

Primary practice location

4200 Altamont PL
White Plains, MD 20695-3052

Mailing address

4200 Altamont PL
White Plains, MD 20695-3052
Phone (301) 645-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230118000101 DC Practitioner - Nurse Practitioner 6002287760 Reassigns benefits to 1 organization
I20230118000229 MD Practitioner - Nurse Practitioner 6002287760 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Dec 31, 2023 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 31, 2023 Accepting new patients
Minuteclinic LLC Family CurrentSince Dec 28, 2022 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 31, 2023 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

4200 Altamont Pl
White Plains, MD 20695
Phone (202) 423-6430

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1508575127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 ALTAMONT PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953052",
            "telephone_number": "301-645-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 ALTAMONT PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953052",
            "telephone_number": "301-645-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "AMBER",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.