Active NPI
Mary Edith Lucci, CRNA
- Certified Registered Nurse Anesthetist
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA-00184
- Practice address
- 235 N Pearl St
Brockton, MA 02301-1794 - Phone
- (508) 427-3000
- NPI assigned
- Dec 20, 2005
- Last updated
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA-00184 | OH | Primary |
Addresses
Primary practice location
235 N Pearl St
Brockton, MA 02301-1794
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 414-5405
Other practice location 1
9500 Euclid Ave
Cleveland, OH 44195-4701
Phone (216) 444-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00949833 | Other | OH | MEDICARE RAILROAD |
| 0157682 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA-00184 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lake Erie Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Grant Anesthesia Services LTD | Past | Accepting new patients | |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients | |
| Bel-Park Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Endoscopy Center at Bainbridge LLC | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
907 Sumner St
Ste M201
Stoughton, MA 02072
8185 Washington St
Ste 6
Chagrin Falls, OH 44023
Phone (440) 708-0582
75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050
9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050
1611 S Green Rd
Ste 120
South Euclid, OH 44121
Phone (440) 708-0582
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, OH
-
- Certified Registered Nurse Anesthetist
- Chagrin Falls, OH
- NPI 1265927594
Nurse Anesthetist, Certified Registered
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1366482119
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1366431132
-
- Ambulatory Surgical Clinic/Center
- Chagrin Falls, OH
- NPI 1831217231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1801872023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690",
"telephone_number": "617-414-5405",
"fax_number": "617-789-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011794",
"telephone_number": "508-427-3000"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441954701",
"country_code": "US",
"telephone_number": "216-444-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCCI",
"first_name": "MARY",
"middle_name": "EDITH",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "NA-00184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00949833",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0157682",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.