Individual provider Active NPI

Michelle Alexina Lucas, DNP, APRN

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1649059551
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032951 Issued in PA
Practice address
3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607
Phone
(215) 444-7472
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11028767 FL
Family Nurse Practitioner 363LF0000X SP032951 PA Primary

Addresses

Primary practice location

3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (469) 727-6675

Other practice location 1

113 Seaboard Ln Ste 200B
Franklin, TN 37067-8282
Phone (615) 721-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 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
I20240208004370 FL Practitioner - Nurse Practitioner 7618310350 Reassigns benefits to 1 organization
I20250727000043 PA Practitioner - Nurse Practitioner 7618310350 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028767FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Internal Medicine and Pediatrics CurrentSince Jan 13, 2024 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince Aug 4, 2025 Accepting new patients
Concertocare Medical Group of Pennsylvania, PC CurrentSince Jan 5, 2026 Accepting new patients

Locations

7350 SW 60th Ave
Ste 2
Ocala, FL 34476
Phone (352) 854-5530

811 Main St
#7
Kansas City, MO 64105

3425 Simpson Ferry Rd
Ste 100
Camp Hill, PA 17011
Phone (717) 256-2425

3621 Aramingo Ave
Ste 5C
Philadelphia, PA 19134
Phone (215) 444-7472

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 3

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1649059551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ARAMINGO AVE STE 5C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344607",
            "telephone_number": "215-444-7472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Seaboard Ln Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678282",
            "country_code": "US",
            "telephone_number": "615-721-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MICHELLE",
        "middle_name": "ALEXINA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.