THANH MY LUC (FNP) – Family Nurse Practitioner, NPI 1396261533

THANH MY LUC (FNP) is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2298607 (MA). The NPI Number for THANH MY LUC (FNP) is 1396261533

Main info

Female
Sole Proprietor
9 Years Of Experience
Name
THANH MY LUC (FNP)
NPI
1396261533
Phone
(508) 894-0400
Address
110 Liberty St
Enumeration Date
18 August 2017
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813424191
Graduation Year
2017 (9 years ago)
PAC ID
6608141171
Group Practice PAC ID
3577932920
Professional Enrollment ID
I20191011001333
Address ID
MA019042538LY50XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for THANH MY LUC (FNP)

  • 110 Liberty St

    Brockton, MA 023015674

    Phone: (508) 894-0400

    Type: Location

  • 435, Hancock Street, Norfolk Downs, Quincy, Norfolk County, Massachusetts, 02171, United States

    QUINCY, MA 021712428

    Phone: (617) 318-3300

    Type: Location

  • Billings Road, North Quincy, Quincy, Norfolk County, Massachusetts, 02170, United States

    QUINCY, MA 021712025

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-10-11

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
I20191011001333INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes125121$0
99203New patient office or other outpatient visit, 30-44 minutes116116$0
81003Automated urinalysis test4747$0
99214Established patient office or other outpatient visit, 30-39 minutes4443$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 3577932920View full group profile
NameSpecialtyState
Internal MedicineKS
Nurse PractitionerMA
Physician AssistantCT
Nurse PractitionerMA
Internal Medicine, Hospitalist, Infectious DiseaseMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I verify THANH MY LUC (FNP) with an NPI only?
You can start verification with NPI 1396261533 for THANH MY LUC (FNP), then check state licensing separately.
Is THANH MY LUC (FNP) still practicing?
THANH MY LUC (FNP) is currently listed as active in the public NPI registry.
What is THANH MY LUC (FNP) best known for clinically?
Directory data describes THANH MY LUC (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does THANH MY LUC (FNP) list a practice location?
Patients near Brockton, Massachusetts may find THANH MY LUC (FNP) in results; validate coverage separately.
Why does THANH MY LUC (FNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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