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KERRY EMILY SANTA LUCIA ACNP
NPI 1669168811
Nurse Practitioner in Desoto, TX

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
2651 BOLTON BOONE DR, DESOTO, TX 75115(214) 358-2300(214) 579-6990 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2025, Apr 12, 2023 (2 updates tracked since 2023).

About Kerry Emily Santa Lucia Acnp NPPES

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

KERRY EMILY SANTA LUCIA ACNP (NPI 1669168811) is an individual nurse practitioner in Desoto, Texas, licensed in Texas (1113539) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- Waxahachie, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669168811
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKERRY EMILY SANTA LUCIACredential: ACNP
Location Address2651 BOLTON BOONE DRDesoto, TX 75115-2011
Mailing Address1505 Lbj Fwy Ste 700Dallas, TX 75234-6065 · (214) 358-2300 · Fax (214) 579-6941
Phone(214) 358-2300
Fax(214) 579-6990
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2023
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1669168811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1113539
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1113539 (TX)
2651 BOLTON BOONE DR, Desoto, TX 75115
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Secondary Practice Locations 3

Location 13500 W Wheatland RdDallas, TX 75237-3460 · Phone (214) 956-4525 ext. 71
Location 22700 E Broad StMansfield, TX 76063-5899 · Phone (214) 956-4525 ext. 71
Location 31441 N Beckley AveDallas, TX 75203-1201 · Phone (214) 995-6921

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerry Emily Santa Lucia Acnp 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 ID4880052018
PECOS Enrollment IDI20230621001210
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

3

Medicare enrollment records show Kerry Santa Lucia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

High Baldy PLLC
4.9 mi
Family Medicine
207 E PARKERVILLE RD
Desoto, TX 75115
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1225851579 (385) 454-5027
Dallas Pulmonary & Critical Care PA
8.6 mi
Critical Care Medicine
221 W COLORADO BLVD STE 525
Dallas, TX 75208
  • Reassigned Medicare billing, Texas enrollment
  • 254 clinicians in this Medicare group
NPI 1235402728 (214) 960-5681
Dallas Nephrology Associates
19 mi
Nephrology
1505 LBJ FWY STE 700
Dallas, TX 75234
  • Reassigned Medicare billing, Texas enrollment
  • 183 clinicians in this Medicare group
NPI 1861440109 (214) 358-2300

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly

Methodist Midlothian Medical Center

Acute Care Hospitals · Midlothian, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670300
Location1201 E Highway 287Midlothian, TX 76065 · Ellis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75115 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 11

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

DESOTO REGIONAL DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2651 BOLTON BOONE DR, BUILDING B
DESOTO, TX 75115
Dallas County (972) 780-5991
OMAR FARRUKH MD
Internal Medicine (Nephrology)
2651 BOLTON BOONE DR
DESOTO, TX 75115
Dallas County (214) 358-2300
HASSAN ALHALABI M.D.
Internal Medicine (Nephrology)
2651 BOLTON BOONE DR
DESOTO, TX 75115
Dallas County (214) 358-2300
CARLOS E PANCORVO M.D.
Internal Medicine (Nephrology)
2651 BOLTON BOONE DR
DESOTO, TX 75115
Dallas County (214) 358-2300
RICHARD FUQUAY MD
Internal Medicine (Nephrology)
2651 BOLTON BOONE DR
DESOTO, TX 75115
Dallas County (214) 358-2300
MS. ELIZABETH A GARVEY RD, LD
Dietitian, Registered
2651 BOLTON BOONE DR
DESOTO, TX 75115
Dallas County (214) 358-2300
DR. STEPHEN REGINA DO
Internal Medicine (Nephrology)
2651 BOLTON BOONE DR
DESOTO, TX 75115
Dallas County (214) 358-2300
DR. JYOTHSNA KODALI M.D.
Internal Medicine (Nephrology)
2651 BOLTON BOONE DR
DESOTO, TX 75115
Dallas County (214) 358-2300

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 Kerry Santa Lucia's NPI number?

The NPI number for Kerry Santa Lucia is 1669168811. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Kerry Santa Lucia located?

Kerry Santa Lucia practices at 2651 Bolton Boone Dr, Desoto, TX 75115. The listed phone number is (214) 358-2300.

What is Kerry Santa Lucia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kerry Santa Lucia enrolled in Medicare?

Yes. Kerry Santa Lucia 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.

Which organizations bill Medicare for Kerry Santa Lucia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Santa Lucia reassigns Medicare benefits to 3 organizations: High Baldy PLLC (Desoto, TX), Dallas Pulmonary & Critical Care PA (Dallas, TX) and Dallas Nephrology Associates (Dallas, TX). 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 Kerry Santa Lucia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Santa Lucia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Kerry Santa Lucia 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.

Is Kerry Santa Lucia affiliated with any hospitals?

According to CMS data, Kerry Santa Lucia is affiliated with Baylor Scott & White Medical Center- Waxahachie and Methodist Midlothian Medical Center.

When was this NPI record last updated?

The NPPES record for Kerry Santa Lucia was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.