Individual provider Active NPI

Kassie Lukasz, AG-ACNP

  • Acute Care Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1659132272
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
83070 Issued in KS
Practice address
600 SW College Ave
Topeka, KS 66606-1684
Phone
(785) 233-9643
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 147475 KS
Acute Care Nurse Practitioner 363LA2100X 83070 KS Primary

Addresses

Primary practice location

600 SW College Ave
Topeka, KS 66606-1684

Mailing address

3136 SE Burton St
Topeka, KS 66605-2138

Other practice location 1

1700 SW 7th St
Topeka, KS 66606-2489
Phone (785) 295-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20240506000113 KS Practitioner - Nurse Practitioner 8729428990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

600 SW Jewell Ave
Topeka, KS 66606-1607
Phone (785) 295-5310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147475KSMDRegistered Nurse
83070KSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Apr 18, 2024 Accepting new patients
Topeka Physician Group, LLC CurrentSince Apr 18, 2024 Accepting new patients

Locations

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

600 SW College Ave
Topeka, KS 66606
Phone (785) 233-0292

Interoperability endpoints

  • Direct secure messaging: kassie.lukasz.1@16424.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1659132272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 SE BURTON ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW COLLEGE AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061684",
            "telephone_number": "785-233-9643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 SW 7th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062489",
            "country_code": "US",
            "telephone_number": "785-295-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKASZ",
        "first_name": "KASSIE",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-05-23",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "147475",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "83070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.