Addisyn Quinn Lucas
Individual provider Active NPI Nurse Practitioner · Phelps, KY
NPI 1932055787 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1932055787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4053768 (KY)
- Practice address
- 7617 Upper Johns Creek Rd
Phelps, KY 41553-8775 - Phone
- (606) 835-9333
- Fax
- (606) 835-9997
- NPI assigned
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hilltop Primary Care Inc
Practice addresses (Care Compare)
7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Phone (606) 835-9333
Hospital & facility affiliations
- Pikeville Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260324000837 | KY | Practitioner - Nurse Practitioner | 7618451030 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4053768 | KY | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4053768 | KY | Yes |
Addresses
Primary practice location
7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Mailing address
7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Phone (606) 835-9333
Other providers in Phelps, KY
- Daryll Hamilton
- Geraline Hatfield
- Hilltop Primary Care, Inc
- Hilltop Primary Care, Inc
- Integrated Wound Care Kentucky PLLC
- Mansoor Mahmood
- Robert Sean McGuirk
- Rina Dawn McNutt
- One Call Medical and Telehealth
- Phelps Ky Opco LLC
All providers in Phelps, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.