NPIMap

Individual provider Active NPI

Jessica Geimer Lucas, D.O.

  • Nephrology Physician
  • Wheeling, WV
National Provider Identifier
1871719757
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2129 Issued in WV
Practice address
58 16TH St
Suite 500
Wheeling, WV 26003-3660
Phone
(304) 242-7751
Fax
(304) 242-7254
NPI assigned
Apr 18, 2007
Last updated
May 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2129 WV
Nephrology Physician 207RN0300X 2129 WV Primary

Addresses

Primary practice location

58 16TH St
Suite 500
Wheeling, WV 26003-3660

Mailing address

58 16TH St
Suite 500
Wheeling, WV 26003-3660
Phone (304) 242-7751

Other identifiers 3

IdentifierTypeStateIssuer
2754694MedicaidOH
P00429155OtherRAILROAD MEDICARE
3810009080MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070912000275 WV Practitioner - NephrologyPractitioner - Internal Medicine 0446343065 Reassigns benefits to 1 organization
I20111115000787 OH Practitioner - NephrologyPractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 0446343065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates, IncGroup PAC ID 3577650076, 6 clinicians

Practice addresses (Care Compare)

103 Plaza Dr
Suite G
Saint Clairsville, OH 43950-7729
Phone (304) 242-7751

58 16TH St
Suite 500
Wheeling, WV 26003-3610
Phone (304) 242-7751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2129WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glorioso General Practice, Inc. CurrentSince Jul 27, 2022 Accepting new patients
Ohio Valley Medical Center Inc Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients

Locations

103 Plaza Dr
Ste G
St Clairsvle, OH 43950
Phone (304) 242-7751

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

2000 Eoff St
Ste 404
Wheeling, WV 26003
Phone (304) 234-8363

2101 Jacob St
Ste 501
Wheeling, WV 26003
Phone (304) 234-8517

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1871719757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "address_2": "SUITE 500",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-242-7751",
            "fax_number": "304-242-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 16TH ST",
            "address_2": "SUITE 500",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-242-7751",
            "fax_number": "304-242-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JESSICA",
        "middle_name": "GEIMER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2129",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2754694",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00429155",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009080",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.