Gennelle Katherine Lucid, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Beech Grove, IN
NPI 1649538166 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1649538166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71004017A (IN)
- Practice address
- 2030 Churchman Ave
Beech Grove, IN 46107-1044 - Phone
- (317) 786-9285
- Fax
- (317) 781-2793
- NPI assigned
- May 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
2030 Churchman Ave
Suite a
Beech Grove, IN 46107-1044
Phone (317) 786-9285
Hospital & facility affiliations
- Franciscan VNS Home Care, Inc
- Franciscan Health Indianapolis
- Franciscan Health Mooresville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20120611000412 | IN | Practitioner - Nurse Practitioner | 9335303999 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current |
Accepting new patients | |
| Franciscan Physician Network | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2030 Churchman Ave
Beech Grove, IN 46107
Phone (317) 781-2100
2030 Churchman Ave
Ste A
Beech Grove, IN 46107
Phone (317) 783-8957
10767 Illinois St
Ste 1300
Carmel, IN 46032
Phone (317) 528-2298
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
701 E County Line Rd
Ste 101
Greenwood, IN 46143
Phone (317) 885-2860
5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004017A | IN | Yes |
Addresses
Primary practice location
2030 Churchman Ave
Beech Grove, IN 46107-1044
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070
Phone (317) 883-4736
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201091130 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | glucid408227@Direct.FranciscanAlliance.org | Direct |
Other providers in Beech Grove, IN
- Jill K. Leslie
- Lauren Kathleen Liechty
- Robert Lindsey
- Andrew M Losh
- Patrick J Lotti
- Lumivex Medical Billing LLC
- Kristen Lundy
- Lisa Katherine Mabie
- Daniel Raymond Maddigan
- Robert Mara
All providers in Beech Grove, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. 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.