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

Active since February 12, 2019PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, maintains 3 additional practice locations, and is a graduate of Other (2018).

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
Medical School CMSOtherGraduated 2018
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 23021 Brunswick Rd Ste 1105Bartlett, TN 38133-4198 · Phone (901) 726-3979
Location 31223 Main St Ste BSouthaven, MS 38671-1429 · Phone (662) 408-6995 · Fax (901) 425-9884

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna Luckett Fnp 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 ID8729400395
PECOS Enrollment IDI20200629000468, I20200723002959
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 12 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.