Individual provider Active NPI

Taylor Grace Lukas, DNP, FNP-BC, BSN, RN

  • Family Nurse Practitioner
  • Hastings, MI
National Provider Identifier
1972217693
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704325315 Issued in MI
Practice address
300 Meadow Run Dr
Hastings, MI 49058-9048
Phone
(269) 818-1020
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704325315 MI
Family Nurse Practitioner 363LF0000X 4704325315 MI Primary

Addresses

Primary practice location

300 Meadow Run Dr
Hastings, MI 49058-9048

Mailing address

5600 Stimson Rd
Middleville, MI 49333-9060
Phone (269) 254-5772

Other names 1

  • Dr. Taylor Grace Tripp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20260528000543 MI Practitioner - Nurse Practitioner 7214407592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsight IncGroup PAC ID 6507938800, 27 clinicians

Practice addresses (Care Compare)

601 Abbot Rd
East Lansing, MI 48823-3366
Phone 24852821166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704325315MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Pediatrics PC PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 2

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1972217693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 STIMSON RD",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493339060",
            "telephone_number": "269-254-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEADOW RUN DR",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589048",
            "telephone_number": "269-818-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKAS",
        "first_name": "TAYLOR",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704325315",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704325315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "TRIPP",
            "middle_name": "GRACE",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC, BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hastings, MI

Sources for this page

Verify at the official NPI Registry.