JOAN MARIE LUCKEY (APRN,BC) – Family Nurse Practitioner, NPI 1881767762

JOAN MARIE LUCKEY (APRN,BC) is a healthcare provider. based in Streator, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN,BC. They hold a License No. 209-001759 (IL). The NPI Number for JOAN MARIE LUCKEY (APRN,BC) is 1881767762

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JOAN MARIE LUCKEY (APRN,BC)
NPI
1881767762
Phone
(815) 672-4587
Address
109 E ELM ST
Enumeration Date
16 November 2006
Last Update Date
10 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156724587
Graduation Year
1997 (29 years ago)
PAC ID
7113004391
Group Practice PAC ID
0648187252
Professional Enrollment ID
I20080411000656
Address ID
IL613643332ST111XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for JOAN MARIE LUCKEY (APRN,BC)

  • Streatorland Historical Museum, 109, East Elm Street, South Streator, Streator, LaSalle County, Illinois, 61364, United States

    STREATOR, IL 613642223

    Phone: (815) 672-4587

    Fax: (815) 673-3582

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Abbott Laboratories ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080411000656INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61364)

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Provider's Procedures

JOAN MARIE LUCKEY (APRN,BC) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIL90670Pneumococcal vaccine for injection into muscle2525

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648187252View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to JOAN MARIE LUCKEY (APRN,BC)?
NPI 1881767762 is assigned to JOAN MARIE LUCKEY (APRN,BC) under the national enumeration system.
Is JOAN MARIE LUCKEY (APRN,BC)'s NPI currently valid?
The extract we use shows JOAN MARIE LUCKEY (APRN,BC) as active.
Does JOAN MARIE LUCKEY (APRN,BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JOAN MARIE LUCKEY (APRN,BC). Clinical services aligned with this taxonomy classification.
Does JOAN MARIE LUCKEY (APRN,BC) practice in Illinois?
You will see Streator, Illinois on file for JOAN MARIE LUCKEY (APRN,BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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