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MRS. NISSA BREANN LUCERO NP-C
NPI 1811294697
Nurse Practitioner - Family in Spanish Fork, UT

Active since February 14, 2011PECOS EnrolledAccepts Medicare Assignment
415 N MAIN ST, SPANISH FORK, UT 84660(801) 798-9700(801) 798-3131 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1811294697
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NISSA BREANN LUCEROCredential: NP-C
Location Address415 N MAIN STSpanish Fork, UT 84660-1439
Mailing Address415 N Main StSpanish Fork, UT 84660-1439 · (801) 798-9700 · Fax (801) 798-3131
Phone(801) 798-9700
Fax(801) 798-3131
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 14, 2011
✔ NPI 1811294697 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 UT · 64501484405
415 N MAIN ST, Spanish Fork, UT 84660
Open in Google Maps ↗

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

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.

PECOS PAC ID5092072645
PECOS Enrollment IDI20260601002509
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 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.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 4

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

LACEY MILLER EDEN FNP
Nurse Practitioner (Family)
415 N MAIN ST
SPANISH FORK, UT 84660
Utah County (801) 798-9700
EXPRESS MED FAMILY CARE LLC
Family Medicine
415 N MAIN ST
SPANISH FORK, UT 84660
Utah County (801) 798-8133
UTAH UROLOGY LLC
Urology
415 N MAIN ST
SPANISH FORK, UT 84660
Utah County (801) 609-4476
EXPRESSMED URGENT CARE CENTERS LLC
Nurse Practitioner (Acute Care)
415 N MAIN ST
SPANISH FORK, UT 84660
Utah County (801) 798-9700

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.

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.