KATHRYN LEA LUCKETT NP
NPI 1104368174
Nurse Practitioner - Family in Greenville, SC

Q: What is Kathryn Luckett's NPI number?

The NPI number for Kathryn Luckett is 1104368174. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Q: What is Kathryn Luckett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Luckett was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2016PECOS Enrolled

7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615(864) 522-3700(864) 522-3705 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2023, Apr 29, 2022, May 13, 2021 and 2 more (5 updates tracked since 2016).

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About Kathryn Lea Luckett Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN LEA LUCKETT NP (NPI 1104368174) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (20521) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104368174

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHRYN LEA LUCKETTCredential: NP

Location Address7 INDEPENDENCE PT STE 300Greenville, SC 29615-4569

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 522-3700

Fax(864) 522-3705

Sole ProprietorNo

Enumeration DateNovember 8, 2016

Last NPPES UpdateJune 5, 20235 updates tracked since enumeration

NPPES CertifiedJune 5, 2023

✔ NPI 1104368174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 20521

7 INDEPENDENCE PT STE 300, Greenville, SC 29615

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Other Identifiers 1

MedicaidNP4297SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Lea Luckett Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kathryn Luckett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health University Medical Group

Same address

Anesthesiology

7 INDEPENDENCE PT STE 300
Greenville, SC 29615

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1528465374 (864) 522-3700

Palmetto Internal Medicine & Primary Care, PA

5.6 mi

Internal Medicine

300 W BUTLER RD
Mauldin, SC 29662

Reassigned Medicare billing, South Carolina enrollment
12 clinicians in this Medicare group

NPI 1124335898 (864) 277-8300

Medstar Medical Group II LLC

402 mi

Critical Care Medicine

3800 RESERVOIR RD NW
Washington, DC 20007

Reassigned Medicare billing, District of Columbia and Maryland enrollments
Also billed through NPI 1376887844 (Maryland)
3,530 clinicians in this Medicare group

NPI 1205562816 (703) 558-1403

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL DEREK STREET CRNA

Nurse Anesthetist, Certified Registered