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KELLY JO LUCAS
NPI 1295506798
Nurse Practitioner - Family in Randleman, NC

Active since January 12, 2024PECOS EnrolledAccepts Medicare Assignment
670 W ACADEMY ST, RANDLEMAN, NC 27317(336) 498-8500(336) 498-8522 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Jo Lucas NPPES

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

KELLY JO LUCAS (NPI 1295506798) is an individual family provider in Randleman, North Carolina, licensed in North Carolina (292083) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Randolph Hospital, and is a graduate of University Of Alabama School Of Medicine (2023).

NPPES Registry Identity

NPI1295506798
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY JO LUCAS
Location Address670 W ACADEMY STRandleman, NC 27317-9748
Mailing Address670 W Academy StRandleman, NC 27317-9748
Phone(336) 498-8500
Fax(336) 498-8522
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2023
Enumeration DateJanuary 12, 2024
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1295506798 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 NC · 292083
670 W ACADEMY ST, Randleman, NC 27317
Open in Google Maps ↗

Other Identifiers 2

Other5019530NC · Np
Other292083NC · Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

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

Kelly Jo Lucas 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.

PECOS PAC ID42791899
PECOS Enrollment IDI20260219004542
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

2

Medicare enrollment records show Kelly Lucas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forsyth Medical Group, LLC
Same address
Internal Medicine
670 W ACADEMY ST
Randleman, NC 27317
  • Reassigned Medicare billing, North Carolina enrollment
  • 52 clinicians in this Medicare group
NPI 1861377038 (336) 498-8500
Randleman Medical Center
Same address
Primary Care
670 W ACADEMY ST
Randleman, NC 27317
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1477810265 (336) 498-8500

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27317 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 6

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

MACI OLIVIA BURNS COWARD
Nurse Practitioner (Family)
670 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 498-8500
RANDLEMAN MEDICAL CENTER
Nurse Practitioner (Primary Care)
670 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 498-8500
MADISON WHITAKER
Nurse Practitioner (Primary Care)
670 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 498-8500
MRS. REGINA F HODGE FNP
Nurse Practitioner (Family)
670 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 498-8500
FORSYTH MEDICAL GROUP, LLC
Internal Medicine
670 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 498-8500
RAJAN MITCHELL D.O.
Family Medicine
670 W ACADEMY ST
RANDLEMAN, NC 27317
Randolph County (336) 495-3186

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 Kelly Lucas's NPI number?

The NPI number for Kelly Lucas is 1295506798. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Where is Kelly Lucas located?

Kelly Lucas practices at 670 W Academy St, Randleman, NC 27317. The listed phone number is (336) 498-8500.

What is Kelly Lucas's specialty?

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

Is Kelly Lucas enrolled in Medicare?

Yes. Kelly Lucas 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 organizations bill Medicare for Kelly Lucas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lucas reassigns Medicare benefits to 2 organizations: Forsyth Medical Group, LLC (Randleman, NC) and Randleman Medical Center (Randleman, NC). Each 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 Kelly Lucas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Lucas accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Kelly Lucas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Lucas affiliated with any hospitals?

According to CMS data, Kelly Lucas is affiliated with Randolph Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Lucas was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.