SUBRICCA NICOLE REDDING LUSTER FNP-C
NPI 1598524886
Nurse Practitioner - Family in Tifton, GA

Q: What is Subricca Redding Luster's NPI number?

The NPI number for Subricca Redding Luster is 1598524886. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Subricca Redding Luster's specialty?

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

Active since March 18, 2024PECOS EnrolledAccepts Medicare Assignment

1948 OLD OCILLA RD, TIFTON, GA 31794(229) 391-3500 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Subricca Nicole Redding Luster Fnp-c NPPES

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

SUBRICCA NICOLE REDDING LUSTER FNP-C (NPI 1598524886) is an individual family provider in Tifton, Georgia, licensed in Georgia (RN261329) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Leesburg, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1598524886

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUBRICCA NICOLE REDDING LUSTERCredential: FNP-C

Location Address1948 OLD OCILLA RDTifton, GA 31794-1644

Mailing Address1948 Old Ocilla RdTifton, GA 31794-1644 · (229) 391-3500

Phone(229) 391-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1598524886 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 GA · RN261329

1948 OLD OCILLA RD, Tifton, GA 31794

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Secondary Practice Location 1

Location 1130 Oakland PkwyLeesburg, GA 31763-7200 · Phone (229) 391-3500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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

Subricca Nicole Redding Luster Fnp-c 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 ID5890202436

PECOS Enrollment IDI20250729000262

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

MRS. EVA ROSE SMITH PA

Nurse Practitioner (Obstetrics & Gynecology)