Individual provider Active NPI

Erika Jean Lucero, PA-C

  • Physician Assistant
  • Espanola, NM
National Provider Identifier
1992952592
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2008-0039 Issued in NM
Practice address
620 N Coronado Ave
Espanola, NM 87532-2726
Phone
(505) 753-7218
Fax
(505) 753-5815
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2008-0039 NM Primary

Addresses

Primary practice location

620 N Coronado Ave
Espanola, NM 87532-2726

Mailing address

620 N Coronado Ave
Espanola, NM 87532-2726
Phone (505) 753-7218

Other identifiers 1

IdentifierTypeStateIssuer
50726269MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20100525001019 NM Practitioner - Physician Assistant 4880723105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
86.32
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince Aug 26, 2008 Accepting new patients
Taos Health Systems Inc Holy Cross Hospital CurrentSince Jun 10, 2022 Accepting new patients
El Centro Family Health CurrentSince Aug 26, 2008 Accepting new patients
Taos Comprehensive Health Corporation CurrentSince Nov 18, 2025 Accepting new patients
El Centro Family Health Past Accepting new patients
Corazon Family Health PC PastSince Apr 1, 2013 Accepting new patients
Santa Fe Medical Group, LLC Past Accepting new patients
Lovelace Urgent Care, LLC PastSince Apr 1, 2025 Accepting new patients
Truecare LLC PastSince Jan 1, 2016 Accepting new patients

Locations

538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218

7555 Enchanted Hills Blvd NE
Rio Rancho, NM 87144
Phone (505) 771-9833

707 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 577-4543

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

Organizations & group practices 9

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1992952592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N CORONADO AVE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322726",
            "telephone_number": "505-753-7218",
            "fax_number": "505-753-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N CORONADO AVE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322726",
            "telephone_number": "505-753-7218",
            "fax_number": "505-753-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "ERIKA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2008-0039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50726269",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

Verify at the official NPI Registry.