Individual provider Active NPI

Margaret Peggy Lucas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Schenectady, NY
National Provider Identifier
1669944146
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402412 Issued in NY
Practice address
500 Balltown Rd BLDG 12D
Schenectady, NY 12304-2247
Phone
(518) 388-1848
Fax
(518) 370-7375
NPI assigned
Dec 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402412 NY Primary

Addresses

Primary practice location

500 Balltown Rd BLDG 12D
Schenectady, NY 12304-2247

Mailing address

PO Box 704
Latham, NY 12110-0704
Phone (518) 429-3072

Other names 1

  • Mr. Margaret Peggy Owusu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220304000221 NY Practitioner - Nurse Practitioner 9830583012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F402412NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Nov 24, 2021 Accepting new patients
MPL Wellness NP in Psychiatry CurrentSince Jun 1, 2023 Accepting new patients
State of New York Comptrollers Office CurrentSince Nov 24, 2021 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

200 Smith Dr
Corinth, NY 12822
Phone (518) 654-7680

952 Troy Schenectady Rd
Ste 111
Latham, NY 12110
Phone (518) 316-7177

500 Balltown Rd
Schenectady, NY 12304
Phone (518) 388-1950

500 Balltown Rd
Bldg 12D
Schenectady, NY 12304
Phone (518) 388-1848

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1669944146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100704",
            "telephone_number": "518-429-3072",
            "fax_number": "518-785-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BALLTOWN RD BLDG 12D",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123042247",
            "telephone_number": "518-388-1848",
            "fax_number": "518-370-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MARGARET",
        "middle_name": "PEGGY",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "OWUSU",
            "middle_name": "PEGGY",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.