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MS. MICHELLE RENEE LUCERO PA-C
NPI 1194023671
Physician Assistant in Albuquerque, NM

Active since March 07, 2011
4550 EUBANK BLVD NE STE D205, ALBUQUERQUE, NM 87111(505) 234-6432(505) 234-6432 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 11, 2025, Oct 4, 2022 (2 updates tracked since 2022).

About Ms. Michelle Renee Lucero Pa-c NPPES

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

MS. MICHELLE RENEE LUCERO PA-C (NPI 1194023671) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (2000PA27) and active in the NPI registry since March 2011. She maintains a secondary practice location in Kuna.

NPPES Registry Identity

NPI1194023671
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MICHELLE RENEE LUCEROCredential: PA-C
Location Address4550 EUBANK BLVD NE STE D205Albuquerque, NM 87111-3479
Mailing Address4550 Eubank Blvd Ne Ste D205Albuquerque, NM 87111-3479 · (505) 234-6432 · Fax (505) 234-6432
Phone(505) 234-6432
Fax(505) 234-6432
Sole ProprietorNo
Enumeration DateMarch 7, 2011
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1194023671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NM · 2000PA27✔ Licensed in ID · PA-2326
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.
4550 EUBANK BLVD NE STE D205, Albuquerque, NM 87111
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Secondary Practice Location 1

Location 113500 S Pleasant Valley RdKuna, ID 83634-2709 · Phone (208) 331-2760 ext. 20851

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 Michelle Lucero's NPI number?

The NPI number for Michelle Lucero is 1194023671. It was assigned to this individual provider in the NPPES registry on March 7, 2011.

Where is Michelle Lucero located?

Michelle Lucero practices at 4550 Eubank Blvd NE Ste D205, Albuquerque, NM 87111. The listed phone number is (505) 234-6432.

What is Michelle Lucero'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 Michelle Lucero was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.