THERESA M CARLUCCI CRNP
NPI 1174922058
Nurse Practitioner - Family in Erie, PA
About Theresa M Carlucci Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA M CARLUCCI CRNP (NPI 1174922058) is an individual family provider in Erie, Pennsylvania, licensed in Pennsylvania (SP014151) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa M Carlucci Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Theresa Carlucci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Erie, PA 16550
- Reassigned Medicare billing, Pennsylvania enrollment
- 962 clinicians in this Medicare group
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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theresa Carlucci's NPI number?
The NPI number for Theresa Carlucci is 1174922058. It was assigned to this individual provider in the NPPES registry on August 18, 2014.
Where is Theresa Carlucci located?
Theresa Carlucci practices at 300 State St Ste 103A, Erie, PA 16507. The listed phone number is (814) 877-8540.
What is Theresa Carlucci's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Carlucci enrolled in Medicare?
Yes. Theresa Carlucci is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Theresa Carlucci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Carlucci reassigns Medicare benefits to Regional Health Services Inc (Erie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Carlucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresa Carlucci was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Theresa M Carlucci, CRNP · NPI 1174922058
Family physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 18, 2014.
## Identity
- **NPI:** 1174922058 (Entity type: Individual)
- **Enumerated:** August 18, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP014151 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 STATE ST STE 103A, Erie, PA 16507-1471
- **Phone:** (814) 877-8540 · **Fax:** (814) 877-8541
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regional Health Services Inc (NPI 1174520654, Erie, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174922058) · Data from the CMS NPPES public registry.