Active NPI
Mark Lucero, APRN
- Family Nurse Practitioner
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11017381
- Practice address
- 510 SE Dixie Hwy
Stuart, FL 34994-3045 - Phone
- (772) 210-6429
- NPI assigned
- Jan 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11017381 | FL | Primary |
Addresses
Primary practice location
510 SE Dixie Hwy
Stuart, FL 34994-3045
Mailing address
3124 US Highway 441 SE Apt I7
Okeechobee, FL 34974-6836
Phone (954) 516-4761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 NW Saint Lucie W Blvd
Suite 102
Port Saint Lucie, FL 34986
Phone (772) 223-2896
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017381 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Access 365 Urgent Care LLC | Current | Accepting new patients |
Locations
2339 SW Martin Hwy
Palm City, FL 34990
Phone (772) 222-5302
1095 NW Saint Lucie West Blvd
Ste 102
Port Saint Lucie, FL 34986
Phone (772) 223-2896
1070 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 408-9434
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
3801 S Kanner Hwy
Ste 300
Stuart, FL 34994
Phone (772) 223-4978
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Access 365 Urgent Care
- Urgent Care Clinic/Center
- Palm City, FL
- NPI 1992242895
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1609527217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 US HIGHWAY 441 SE APT I7",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349746836",
"telephone_number": "954-516-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349943045",
"telephone_number": "772-210-6429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "MARK",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11017381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.