Lucca Criminale, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10005333 Issued in WA

Practice address

817 Commercial St
Leavenworth, WA 98826-1316

Phone

(509) 548-5815

Fax

(509) 548-2510

NPI assigned

Dec 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chelan County Public Hospital District No. 1Group PAC ID 3971491234, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cascade Medical Center Hospital, Leavenworth, WA, CCN 501313

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Chelan County Public Hospital District No. 1

  • Rural Acute Care Hospital
  • Leavenworth, WA
  • NPI 1962406389
  Medicare reassignment NPD
• Chelan County Public Hospital District No. 1

  • Rural Health Clinic/Center
  • Leavenworth, WA
  • NPI 1437141215
  NPD
• Joseph Lehigh Jensen III

  • Rural Health Clinic/Center
  • Twisp, WA
  • NPI 1265568349
  NPD (past)
• Joseph Lehigh Jensen III

  • Family Medicine Physician
  • Twisp, WA
  • NPI 1558496851
  NPD (past)

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

• Chelan County Public Hospital District No. 1

  • Rural Acute Care Hospital
  • Leavenworth, WA
  • NPI 1962406389
  Care Compare affiliation

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1568645141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL STREET",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-3431",
            "fax_number": "509-548-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-5815",
            "fax_number": "509-548-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Twisp",
            "state": "WA",
            "postal_code": "98856",
            "country_code": "US",
            "telephone_number": "509-997-2011",
            "fax_number": "509-997-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIMINALE",
        "first_name": "LUCCA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR & INDUSTRIES",
            "identifier": "449912",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR & INDUSTRIES",
            "identifier": "244043",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8501439",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luccac@cascademedical.org",
            "affiliation": "N",
            "endpointDescription": "provider contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "817 Commercial St",
            "city": "Leavenworth",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988261316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelan County Public Hospital District No. 1
• Alan L Chilcoat, LMP
• Megan Christie
• Kurt S Conner, PA
• Cornerstone Community
• Amy Cummings
• John R Deliduka, MD
• Deborah Deshazo
• Suzan Marie Dickinson, M.A., LMFT
• Susan Lee Dodge, LMHC

• Physician Assistant in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.