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: July 19, 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
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

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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.17 for a new patient copayment and $26.3 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lucianne Koroma is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TEMPLE UNIVERSITY HOSPITAL3401 NORTH BROAD STREET
PHILADELPHIA, PA 19140
(215) 707-2000Acute Care Hospitals

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.

Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, ENT DEPT FIRST FLOOR WOOD BLDG
PHILADELPHIA, PA 19104
Internal Medicine (Rheumatology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
3400 CIVIC CENTER BLVD, 5 WOOD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356120984, enumerated as an "individual" on September 25, 2023.

The provider is located at 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 and the phone number is (215) 964-7419.

Nurse Practitioner with taxonomy code 363LC0200X and a focus in Critical Care Medicine.

Lucianne Koroma is affiliated with: TEMPLE UNIVERSITY HOSPITAL.