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LUCIANNE KOROMA MSN, AGACNP
NPI 1356120984
Nurse Practitioner - Critical Care Medicine in Philadelphia, PA

Active since September 25, 2023PECOS EnrolledAccepts Medicare Assignment
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 964-7419 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lucianne Koroma Msn, Agacnp NPPES

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

LUCIANNE KOROMA MSN, AGACNP (NPI 1356120984) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP028203) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356120984
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameLUCIANNE KOROMACredential: MSN, AGACNP
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address17520 Mina LnDumfries, VA 22025-3642 · (703) 851-5894
Phone(215) 964-7419
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 23, 2023
✔ NPI 1356120984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in PA · SP028203
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucianne Koroma Msn, Agacnp 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 ID2062932114
PECOS Enrollment IDI20250220000592
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.

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

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 Lucianne Koroma's NPI number?

The NPI number for Lucianne Koroma is 1356120984. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Lucianne Koroma located?

Lucianne Koroma practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 964-7419.

What is Lucianne Koroma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Lucianne Koroma enrolled in Medicare?

Yes. Lucianne Koroma 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.

Is Lucianne Koroma affiliated with any hospitals?

According to CMS data, Lucianne Koroma is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Lucianne Koroma was last updated on September 25, 2023. 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.