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

Q: 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.

Q: What is Kerry Santa Lucia's specialty?

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

Q: 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 13 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.

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: August 30, 2026.

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

On this page

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 Texas Health Arlington Memorial Hospital, 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

Open in Google Maps ↗

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 Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, 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

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.

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 4

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450064

Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County

Emergency services Birthing friendly

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 Charlton Medical Center

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450723

Location3500 W Wheatland RoadDallas, TX 75237 · Dallas 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)