LUCIANNE KOROMA MSN, AGACNP
NPI 1356120984
Nurse Practitioner - Critical Care Medicine in Philadelphia, PA
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Lucianne Koroma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19121
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 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.
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, PAPhysician 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
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.
Which organization bills Medicare for Lucianne Koroma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucianne Koroma reassigns Medicare benefits to Temple Faculty Practice Plan 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 Lucianne Koroma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Lucianne Koroma, MSN, AGACNP · NPI 1356120984
Critical Care Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 25, 2023.
## Identity
- **NPI:** 1356120984 (Entity type: Individual)
- **Enumerated:** September 25, 2023
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** SP028203 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 CIVIC CENTER BLVD, Philadelphia, PA 19104-5127
- **Phone:** (215) 964-7419
## 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:** Temple Faculty Practice Plan Inc (NPI 1487136495, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1356120984) · Data from the CMS NPPES public registry.