Individual provider Active NPI

Kelly Lucas, NP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1861986762
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000281-NP Issued in CO
Practice address
925 N Lincoln St Apt 15a
Denver, CO 80203-2768
Phone
(720) 500-5488
Fax
(720) 815-0378
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 APN.1000281-NP CO Primary

Addresses

Primary practice location

925 N Lincoln St Apt 15a
Denver, CO 80203-2768

Mailing address

925 N Lincoln St Apt 15a
Denver, CO 80203-2768
Phone (720) 500-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 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

Enrollment IDStateProvider typePAC IDDetails
I20180806001713 OK Practitioner - Nurse Practitioner 0840548996 Reassigns benefits to 1 organization
I20240625001392 CO Practitioner - Nurse Practitioner 0840548996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goodness Health, LLCGroup PAC ID 1850694985, 61 clinicians

Practice addresses (Care Compare)

925 N Lincoln St
Apt 15a
Denver, CO 80203-2768
Phone (720) 500-5488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goodness Health, LLC Multi-Specialty CurrentSince Apr 13, 2024 Accepting new patients
Goodness Health, LLC Multi-Specialty CurrentSince Apr 13, 2024 Accepting new patients
Saints Medical Group, LLC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

3700 N Kickapoo Ave
Ste 124
Shawnee, OK 74804
Phone (405) 273-6383

Organizations & group practices 5

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1861986762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N LINCOLN ST APT 15A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032768",
            "telephone_number": "720-500-5488",
            "fax_number": "720-815-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N LINCOLN ST APT 15A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032768",
            "telephone_number": "720-500-5488",
            "fax_number": "720-815-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000281-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.