KATELYN MICHELE LUCAS MSN, CRNP
NPI 1184192072
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Katelyn Michele Lucas Msn, Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN MICHELE LUCAS MSN, CRNP (NPI 1184192072) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP019089) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.
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 (PECOS)
Katelyn Michele Lucas Msn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Lucas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Katelyn Lucas's NPI number?
The NPI number for Katelyn Lucas is 1184192072. It was assigned to this individual provider in the NPPES registry on November 8, 2018.
Where is Katelyn Lucas located?
Katelyn Lucas practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Katelyn Lucas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Katelyn Lucas enrolled in Medicare?
Yes. Katelyn Lucas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katelyn Lucas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Lucas reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, 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 Katelyn Lucas'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 Katelyn Lucas was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Katelyn Michele Lucas, MSN, CRNP · NPI 1184192072
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 8, 2018.
## Identity
- **NPI:** 1184192072 (Entity type: Individual)
- **Enumerated:** November 8, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP019089 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1184192072) · Data from the CMS NPPES public registry.