1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JESSICA L LUCAS DO
NPI 1629607189
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 06, 2020PECOS Enrolled
3031 W GRAND BLVD STE 600, DETROIT, MI 48202(801) 634-2302 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica L Lucas Do NPPES

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

JESSICA L LUCAS DO (NPI 1629607189) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629607189
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA L LUCASCredential: DO
Location Address3031 W GRAND BLVD STE 600Detroit, MI 48202-3014
Mailing Address3031 W Grand Blvd Ste 600Detroit, MI 48202-3014
Phone(801) 634-2302
Sole ProprietorNo
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1629607189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3031 W GRAND BLVD STE 600, Detroit, MI 48202
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica L Lucas Do 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 Reassignment

Medicare enrollment records show Jessica Lucas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
685 mi
Clinic/Center
1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1205963105 (435) 716-2800

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

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.

DR. ASHLEY NICHOLE DABABNEH DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
DR. JOSEPHINE IRUKAEGO NGAMA MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DR. DANA JAALOUK MD
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
DEEPAK SASHTI MD
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ESEOSA OMOSIVIE URHOGHIDE M.D
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 346-5235
ADAM KHANAFER
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751
RACHEL ADEBUKOLA O'DARE NP
Psychiatry & Neurology (Psychiatry)
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (708) 299-2318
MARIA NAUSHAB DO
Student in an Organized Health Care Education/Training Program
3031 W GRAND BLVD STE 600
DETROIT, MI 48202
Wayne County (313) 871-3751

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 Jessica Lucas's NPI number?

The NPI number for Jessica Lucas is 1629607189. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Jessica Lucas located?

Jessica Lucas practices at 3031 W Grand Blvd Ste 600, Detroit, MI 48202. The listed phone number is (801) 634-2302.

What is Jessica Lucas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Lucas enrolled in Medicare?

Yes. Jessica Lucas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Lucas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Lucas reassigns Medicare benefits to Ihc Health Services Inc (Logan, UT). 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 Jessica Lucas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Lucas was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.