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DONNA LUCKETT FNP
NPI 1609332840
Nurse Practitioner - Family in Cordova, TN

Active since February 12, 2019PECOS Enrolled
70.91/100
CMS Quality Rating
1175 VICKERY LN STE 101, CORDOVA, TN 38016(662) 408-6995(901) 425-9884 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, Jun 25, 2024, Aug 19, 2022 and 1 more (4 updates tracked since 2019).

About Donna Luckett Fnp NPPES

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

DONNA LUCKETT FNP (NPI 1609332840) is an individual family provider in Cordova, Tennessee, licensed in Tennessee (25840) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609332840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONNA LUCKETTCredential: FNP
Location Address1175 VICKERY LN STE 101Cordova, TN 38016-0682
Mailing Address542 Buck Creek CvHernando, MS 38632-8090 · (662) 408-6995 · Fax (901) 425-9884
Phone(662) 408-6995
Fax(901) 425-9884
Sole ProprietorYes
Enumeration DateFebruary 12, 2019
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1609332840 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 TN · 25840
1175 VICKERY LN STE 101, Cordova, TN 38016
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12552 Poplar Ave Ste 4FMemphis, TN 38112-3834 · Phone (901) 673-9944 · Fax (901) 425-9884
Location 21223 Main St Ste BSouthaven, MS 38671-1429 · Phone (662) 408-6995 · Fax (901) 425-9884
Location 33021 Brunswick Rd Ste 1105Bartlett, TN 38133-4198 · Phone (901) 726-3979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Luckett Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Donna Luckett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Superiorcare Medical Group LLC
Same address
Family
1175 VICKERY LN STE 101
Cordova, TN 38016
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
NPI 1124802178 (662) 408-6995
Adult And Adolescent Medicine Clinics PLLC
3.5 mi
Internal Medicine
3021 BRUNSWICK RD STE 1105
Memphis, TN 38133
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1538276704 (901) 362-8671
Gentleear Geriatric Services PLLC
11 mi
Primary Care
2552 POPLAR AVE STE 4F
Memphis, TN 38112
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1922898113 (901) 673-9944
Fast Pace Mississippi, PLLC
56 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Health Providers Of America, LLC
407 mi
Primary Care
3801 E GALBRAITH RD
Cincinnati, OH 45236
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 10 clinicians in this Medicare group
NPI 1316560972 (404) 213-7394

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38016 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Other Providers at the Same Location NPPES

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

SUPERIORCARE MEDICAL GROUP LLC
Nurse Practitioner (Family)
1175 VICKERY LN STE 101
CORDOVA, TN 38016
Shelby County (662) 408-6995

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 Donna Luckett's NPI number?

The NPI number for Donna Luckett is 1609332840. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Donna Luckett located?

Donna Luckett practices at 1175 Vickery Ln Ste 101, Cordova, TN 38016. The listed phone number is (662) 408-6995.

What is Donna Luckett's specialty?

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

Is Donna Luckett enrolled in Medicare?

Yes. Donna Luckett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donna Luckett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Luckett reassigns Medicare benefits to 5 organizations: Superiorcare Medical Group LLC (Cordova, TN), Adult And Adolescent Medicine Clinics PLLC (Memphis, TN), Gentleear Geriatric Services PLLC (Memphis, TN), Fast Pace Mississippi, PLLC (Ripley, MS) and Health Providers Of America, LLC (Cincinnati, OH). 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 Donna Luckett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Luckett accept?

Health plans from Oscar Health Plan, Inc. and Oscar Insurance Company list Donna Luckett 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.

When was this NPI record last updated?

The NPPES record for Donna Luckett was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.