Individual provider Active NPI

Jinjerita Collins Lucas, CRNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1659694081
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007878 Issued in KY
Practice address
2701 Chamberlain LN
Louisville, KY 40245-1603
Phone
(502) 243-9044
Fax
(502) 243-8482
NPI assigned
Mar 12, 2010
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007878 KY Primary

Addresses

Primary practice location

2701 Chamberlain LN
Louisville, KY 40245-1603

Mailing address

2701 Chamberlain LN
Louisville, KY 40245-1603
Phone (502) 243-9044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130627000854 KY Practitioner - Nurse Practitioner 6305097668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stonecrest Family Medicine PLLCGroup PAC ID 4284631193, 5 clinicians

Practice addresses (Care Compare)

101 Stonecrest Rd
Suite 3
Shelbyville, KY 40065-8169
Phone (502) 633-5565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007878KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stonecrest Family Medicine PLLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

101 Stonecrest Rd
Ste 3
Shelbyville, KY 40065
Phone (502) 633-5565

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1659694081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CHAMBERLAIN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451603",
            "telephone_number": "502-243-9044",
            "fax_number": "502-243-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHAMBERLAIN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402451603",
            "telephone_number": "502-243-9044",
            "fax_number": "502-243-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JINJERITA",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.