Individual provider Active NPI

Jennifer Kay Lucy, PA-C

  • Medical Physician Assistant
  • Monroeville, PA
National Provider Identifier
1992204028
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059696 Issued in PA
Practice address
2550 Mosside Blvd Ste 405
Monroeville, PA 15146
Phone
(412) 373-1600
Fax
(412) 373-4197
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT004565 PA
Medical Physician Assistant 363AM0700X MA059696 PA Primary

Addresses

Primary practice location

2550 Mosside Blvd Ste 405
Monroeville, PA 15146

Mailing address

2550 Mosside Blvd Ste 405
Monroeville, PA 15146-3533
Phone (412) 373-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlucy176577@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181003001081 PA Practitioner - Physician Assistant 5496007460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physique Regenerative Medicine of Pittsburgh PCGroup PAC ID 2769888544, 2 clinicians

Practice addresses (Care Compare)

107 Gamma Dr
Suite 200
Pittsburgh, PA 15238-2917
Phone (412) 827-0033

4016 Old William Penn Hwy
Murrysville, PA 15668-1823
Phone (412) 827-0033

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
RT004565PAMDAthletic Trainer
MA059696PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1992204028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD STE 405",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463533",
            "telephone_number": "412-373-1600",
            "fax_number": "412-373-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD STE 405",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-373-1600",
            "fax_number": "412-373-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCY",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004565",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlucy176577@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2550 Mosside Blvd Ste 405",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.