Sabrina Marie Lucero-Jackson, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP8784 Issued in AZ

Practice address

8263 E Pima St
Tucson, AZ 85715-5217

Phone

(520) 730-6411

Fax

(520) 298-3787

NPI assigned

Aug 30, 2016

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, AZ2 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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fedko Emergency Physicians New Mexico, LLCGroup PAC ID 4880934389, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cibola General Hospital Hospital, Grants, NM, CCN 321308
• Rehoboth McKinley Christian Health Care Services Hospital, Gallup, NM, CCN 321313

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sabrinalucero-jackson@rghnm.medalliesdirect.net

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.

• Fedko Emergency Physicians New Mexico LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1770047441
  Medicare reassignment Care Compare group NPD
• Northern Cochise Community Hospital Inc

  • Critical Access Hospital
  • Willcox, AZ
  • NPI 1013060367
  Medicare reassignment NPD
• Cibola General Hospital Corporation

  dba Cibola General Hospital

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039
  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  NM

  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305

  NM

  Medicare reassignment NPD
• Fep West LLC

  • Emergency Medicine Physician
  • Gallup, NM
  • NPI 1023903499
  Medicare reassignment NPD
• Rehoboth McKinley Christian Health Care Services, Inc.

  dba RMCHCS Hospital

  • Critical Access Hospital
  • Gallup, NM
  • NPI 1720084999
  Medicare reassignment NPD
• Rehoboth McKinley Christian Health Care Services, Inc

  • Critical Access Hospital
  • Gallup, NM
  • NPI 1689784506
  Medicare reassignment

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

• Cibola General Hospital Corporation

  dba Cibola General Hospital

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039
  Care Compare affiliation
• Rehoboth McKinley Christian Health Care Services, Inc

  • Rural Health Clinic/Center
  • Gallup, NM
  • NPI 1689779860

  Hospital

  Care Compare affiliation
• Rehoboth McKinley Christian Health Care Services, Inc.

  dba RMCHCS Hospital

  • Critical Access Hospital
  • Gallup, NM
  • NPI 1720084999
  Care Compare affiliation

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1770039646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "520-730-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8263 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155217",
            "telephone_number": "520-730-6411",
            "fax_number": "520-298-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO-JACKSON",
        "first_name": "SABRINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8784",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP-03024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layla Corral Lucas, MD
• Daniel J Luccock, MD
• Mark Estes Luce, MD
• Virginia Ann Luce, M.ED.
• Lucent Hope LLC (Green Garden 1 and 2 senior Care)
• Joel Timothy Lucero, FNP, AG-ACNP
• Kaleena Lucero
• Marcelino Alvarez Lucero Jr., PHARMD
• Marwin Lucero, BT
• Paul Duarte Lucero

• Acute Care Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.