MRS. NISSA BREANN LUCERO NP-C
NPI 1811294697
Nurse Practitioner - Family in Spanish Fork, UT
About Mrs. Nissa Breann Lucero Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NISSA BREANN LUCERO NP-C (NPI 1811294697) is an individual family provider in Spanish Fork, Utah, licensed in Utah (64501484405) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Nissa Breann Lucero Np-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Nissa Lucero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Abilene, TX 79606
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Regional Physician Services Of Texas PA
- 396 clinicians in this Medicare group
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 84660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPANISH FORK, UT 84660
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 Nissa Lucero's NPI number?
The NPI number for Nissa Lucero is 1811294697. It was assigned to this individual provider in the NPPES registry on February 14, 2011.
Where is Nissa Lucero located?
Nissa Lucero practices at 415 N Main St, Spanish Fork, UT 84660. The listed phone number is (801) 798-9700.
What is Nissa Lucero's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nissa Lucero enrolled in Medicare?
Yes. Nissa Lucero 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 organization bills Medicare for Nissa Lucero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nissa Lucero reassigns Medicare benefits to Regional Physician Services Of Texas, P.A. (Abilene, TX). 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 Nissa Lucero'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 Nissa Lucero was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mrs. Nissa Breann Lucero, NP-C · NPI 1811294697
Family physician in Spanish Fork, Utah. Individual provider, active in the CMS NPPES registry since February 14, 2011.
## Identity
- **NPI:** 1811294697 (Entity type: Individual)
- **Enumerated:** February 14, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 64501484405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 N MAIN ST, Spanish Fork, UT 84660-1439
- **Phone:** (801) 798-9700 · **Fax:** (801) 798-3131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regional Physician Services Of Texas, P.A. (NPI 1043529944, Abilene, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** February 14, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1811294697) · Data from the CMS NPPES public registry.