JESSICA G LUCKENBILL PA
NPI 1174873103
Physician Assistant in Englewood, OH

Q: What is Jessica Luckenbill's NPI number?

The NPI number for Jessica Luckenbill is 1174873103. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Q: What is Jessica Luckenbill's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 18, 2012

9000 N MAIN ST, SUITE 200, ENGLEWOOD, OH 45415(937) 836-5555(937) 836-7518 Get Directions Write a Review

NPPES record last updated: July 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica G Luckenbill Pa NPPES

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

JESSICA G LUCKENBILL PA (NPI 1174873103) is an individual physician assistant in Englewood, Ohio, licensed in Ohio (50.003591) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1174873103

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJESSICA G LUCKENBILLCredential: PA

Location Address9000 N MAIN ST, SUITE 200Englewood, OH 45415-1180

Mailing Address9000 N Main St, Suite 200Englewood, OH 45415-1180 · (937) 836-5555 · Fax (937) 836-7518

Phone(937) 836-5555

Fax(937) 836-7518

Sole ProprietorYes

Enumeration DateSeptember 18, 2012

Last NPPES UpdateJuly 11, 2015

✔ NPI 1174873103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.003591

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9000 N MAIN ST, Englewood, OH 45415

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Other Identifiers 3

Medicare PINH134251OH

Medicare PINH134250OH

Medicaid0074453OH

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

35%20 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. NIKI FRANCES HARRY CST

9000 N MAIN ST
DAYTON, OH 45415

Montgomery County (937) 836-3118

DR. SUSAN M EMMERLING MD

Obstetrics & Gynecology

9000 N MAIN ST, SUITE 232
DAYTON, OH 45415

Montgomery County (937) 277-8988

CARLA RENEE KING CNM

Advanced Practice Midwife

9000 N MAIN ST, SUITE 232
DAYTON, OH 45415

Montgomery County (937) 277-8988

INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC

Internal Medicine (Infectious Disease)

9000 N MAIN ST, INFUSION SERVICES
DAYTON, OH 45415

Montgomery County (937) 279-5803

NON-INVASIVE INTERPRETATIONS LLC

Internal Medicine (Cardiovascular Disease)

9000 N MAIN ST, STE 101
DAYTON, OH 45415

Montgomery County (938) 832-2425

BENJAMIN DELOSS MISHLER PA-C, AT

Family Medicine

9000 N MAIN ST
ENGLEWOOD, OH 45415

Montgomery County (260) 223-5666

BRIAN D LEWIS MD

Orthopaedic Surgery

9000 N MAIN ST, STE 227
DAYTON, OH 45415

Montgomery County (937) 832-4773

DOUGLAS E MCCAFFERTY PA

Physician Assistant

9000 N MAIN ST, STE 227
DAYTON, OH 45415

Montgomery County (937) 832-4773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Luckenbill's NPI number?

The NPI number for Jessica Luckenbill is 1174873103. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Jessica Luckenbill located?

Jessica Luckenbill practices at 9000 N Main St Suite 200, Englewood, OH 45415. The listed phone number is (937) 836-5555.

What is Jessica Luckenbill's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessica Luckenbill was last updated on July 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.