JESSICA LUCERO (NP) – Family Nurse Practitioner, NPI 1164056537

JESSICA LUCERO (NP) is a healthcare provider. based in Vilas, North Carolina. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. LUCE-CU9H6 (NC). The NPI Number for JESSICA LUCERO (NP) is 1164056537

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LUCERO (NP)
NPI
1164056537
Phone
(919) 888-2905
Address
2603 MOUNTAIN DALE RD
Enumeration Date
25 February 2020
Last Update Date
25 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8282624133
Graduation Year
2019 (7 years ago)
PAC ID
8325478399
Group Practice PAC ID
2668377474
Professional Enrollment ID
I20200415003541
Address ID
NC286075008BO338XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,252 NURSE PRACTITIONER in NC

Provider Addresses for JESSICA LUCERO (NP)

  • 2603 MOUNTAIN DALE RD

    VILAS, NC 286929406

    Phone: (919) 888-2905

    Type: Mailing

  • 336 DEERFIELD RD

    BOONE, NC 286075008

    Phone: (828) 262-4100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,948.

Total Amount is formed as General ($1,948) + Research ($0) + Ownership ($0) = $1,948.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Kerecis Limited ($1,658).

Total Amount

$1,948

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,948

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-04-15

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
I20200415003541INurse PractitionerNCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15164$0
99213Established patient office or other outpatient visit, 20-29 minutes7944$0
97597Removal of tissue from wound, 20.0 sq cm or less3915$0
99212Established patient office or other outpatient visit, 10-19 minutes2221$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 28692)

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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: 2668377474View full group profile
NameSpecialtyState
Radiation OncologySC
-NC
Cardiovascular Disease (Cardiology)GA
Certified Registered Nurse Anesthetist (Crna)NC
-NC
Radiation OncologyPA
Certified Registered Nurse Anesthetist (Crna)UT
Family PracticeNC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How do payers reference JESSICA LUCERO (NP)?
For JESSICA LUCERO (NP), use NPI 1164056537 as the unique 10-digit identifier.
Is there an active status for JESSICA LUCERO (NP)?
For scheduling context, JESSICA LUCERO (NP) is shown as active in the registry.
What area of care is associated with JESSICA LUCERO (NP)?
JESSICA LUCERO (NP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in North Carolina is JESSICA LUCERO (NP) registered?
Use Vilas, North Carolina as the headline location for JESSICA LUCERO (NP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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