Cheryl Lynn Lucas, ACNP-AG

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP129550 Issued in TX

Practice address

3804 Highway 377 S
Brownwood, TX 76801-5120

Phone

(325) 643-5167

Fax

(866) 247-6022

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Psychcare of Dallas I PLLCGroup PAC ID 2466625371, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coleman County Medical Center Company Hospital, Coleman, TX, CCN 451347
• Comanche County Medical Center Hospital, Comanche, TX, CCN 451382

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Senior Psychcare of Dallas I, PLLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1942596903
  Medicare reassignment Care Compare group NPD

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

• Comanche County Medical Center Company

  • Critical Access Hospital
  • Comanche, TX
  • NPI 1346544616
  Care Compare affiliation
• Preferred Hospital Leasing Coleman, Inc.

  • Critical Access Hospital
  • Coleman, TX
  • NPI 1407121189
  Care Compare affiliation

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1952774549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W REYNOSA AVE",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764441630",
            "telephone_number": "254-893-5895",
            "fax_number": "866-511-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 HIGHWAY 377 S",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015120",
            "telephone_number": "325-643-5167",
            "fax_number": "866-247-6022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brownwood",
            "state": "TX",
            "postal_code": "768015918",
            "country_code": "US",
            "telephone_number": "325-646-0704",
            "fax_number": "866-247-6022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 River North Blvd",
            "address_purpose": "LOCATION",
            "city": "Stephenville",
            "state": "TX",
            "postal_code": "764011804",
            "country_code": "US",
            "telephone_number": "254-965-2810",
            "fax_number": "866-247-6022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Reynosa Ave",
            "address_purpose": "LOCATION",
            "city": "DE Leon",
            "state": "TX",
            "postal_code": "764441630",
            "country_code": "US",
            "telephone_number": "254-893-5895",
            "fax_number": "254-893-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "ACNP-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP129550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star Hearing Services
• Lone Star Optical Inc.
• Christa Long, M.ED., LPC-ASSOCIATE
• Autumn Mkenzie Lord, LPC
• Bradon Evan Loya, MD
• Latrena Lynn Lucas, LVN
• Christin Leann Lykes, LVN
• Michael Darin Lyons, D.O.
• Shannon Lyons, SLP
• William Joseph Maddox, LPC

• Gerontology Nurse Practitioner in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.