Carla Denise Lucas, NP
Nurse Practitioner in Minneapolis, MN. Individual provider (NPI-1).
NPI number1528023926
StatusActive
Last updated in NPPESFeb 26, 2013
Details
- NPI
- 1528023926
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carla Denise Lucas
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2006
- Last updated
- Feb 26, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R1223200 | MN | Yes |
Practice location
1313 Penn Ave NMinneapolis, MN 55411-3047
Phone 612-543-2500 · Fax 612-302-4870
Mailing address
1313 Penn Ave NMinneapolis, MN 55411-3047
Phone 612-543-2500 · Fax 612-302-4870
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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