Carissa Love Lucien, NP
Individual provider Active NPI Family Nurse Practitioner · Cumberland, RI
NPI 1558093203 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1558093203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN03154 (RI)
- Practice address
- 2 Meehan LN
Cumberland, RI 02864-1413 - Phone
- (401) 658-2525
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Global Care Medical Group PC
Practice addresses (Care Compare)
595 Pawtucket Blvd
Suite 3
Lowell, MA 01854-2042
Phone (978) 453-8261
Hospital & facility affiliations
- Lowell General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250702000591 | MA | Practitioner - Nurse Practitioner | 1456864495 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN03154 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Care Medical Group, P.C. | Current |
Accepting new patients | |
| Pratt Medical Group, Inc | Past |
Accepting new patients | |
| Just Kids R.I. Sick Care LLC | Past |
Accepting new patients | |
| Blackstone Valley Pediatrics | Past |
Accepting new patients |
Locations
595 Pawtucket Blvd
Ste 3
Lowell, MA 01854
Phone (918) 453-8261
600 Clark Rd
Fl 2
Tewksbury, MA 01876
Phone (978) 453-1811
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIBCAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN03154 | RI | Yes |
Addresses
Primary practice location
2 Meehan LN
Cumberland, RI 02864-1413
Mailing address
549 Mattakeesett St Apt C
Pembroke, MA 02359-2943
Phone (781) 361-3061
Other providers in Cumberland, RI
- Maria L Lewis
- Lincare Inc.
- Susan Lee Lipski
- Carly Loureiro
- Michael Lucas
- Kendra Lund
- Lung Diseases & Respiratory Care, Inc.
- Danielle Nicole Luther-Loss
- Lydia L. Klufas MD
- Karen George Lyles
All providers in Cumberland, RI · Family Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.