Kelly Lucas, - Medicare Nurse Practitioner in Shawnee, OK

Kelly Lucas, is a medicare enrolled "Nurse Practitioner - Family" in Shawnee, Oklahoma. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shawnee Medical Center Clinic, Inc., Saints Medical Group, Llc, Select Physical Therapy Holdings Inc and her current practice location is 3700 N Kickapoo Ave Ste 124, Shawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 273-6383.

Kelly Lucas is licensed to practice in Oklahoma (license number 92148) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861986762.

Contact Information

Kelly Lucas,
3700 N Kickapoo Ave Ste 124,
Shawnee, OK 74804-0007
(405) 273-6383
Not Available

Map and Direction




Provider's Profile

Full NameKelly Lucas
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location3700 N Kickapoo Ave Ste 124, Shawnee, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Lucas graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1861986762
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 02/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0840548996
  • Enrollment ID: I20180806001713

Medical Identifiers

Medical identifiers for Kelly Lucas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861986762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 92148 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Anthony Hospital - ShawneeShawnee, OKHospital
Ssm Health St Anthony Hospital - Oklahoma CityOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shawnee Medical Center Clinic, Inc.387040543476
Saints Medical Group, Llc7012914898358
Select Physical Therapy Holdings Inc95370764011557

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Lucas allows following entities to bill medicare on her behalf.
Entity NameShawnee Medical Center Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881648285
PECOS PAC ID: 3870405434
Enrollment ID: O20031103000239
Entity NameSaints Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437195922
PECOS PAC ID: 7012914898
Enrollment ID: O20061109000189

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Lucas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Lucas,
3700 N Kickapoo Ave Ste 124,
Shawnee, OK 74804-0007

Ph: (405) 273-6383
Kelly Lucas,
3700 N Kickapoo Ave Ste 124,
Shawnee, OK 74804-0007

Ph: (405) 273-6383

Reviews and Comments


Nurse Practitioner Nurses in Shawnee, OK

Dustin Wade,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    
Mrs. Sabrina R Lafrance, CNP-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30 Redbud Ln, Shawnee, OK 74801
Phone: 509-554-9250    
Dr. Magdalyn Boegler, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3700 N Kickapoo Ave Ste 100, Shawnee, OK 74804
Phone: 405-214-1700    
Jessica Michele Collett, APRN, FNP-C, SANE-A
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 632 N Broadway Ave, Shawnee, OK 74801
Phone: 405-768-4904    Fax: 405-768-4934
Susan George,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    Fax: 405-701-7631
Cindy Cheatwood, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    Fax: 405-585-2859
Bonnie Nadaene Grude,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5903 Gabriel, Shawnee, OK 74804
Phone: 918-470-0324    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.