Gennelle Katherine Lucid, FNP-BC
Nurse Practitioner, Family in Beech Grove, IN. Individual provider (NPI-1).
NPI number1649538166
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1649538166
- Entity type
- Individual (NPI-1)
- Name
- Gennelle Katherine Lucid
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2012
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71004017A | IN | Yes |
Practice location
2030 Churchman AveBeech Grove, IN 46107-1044
Phone 317-786-9285 · Fax 317-781-2793
Mailing address
Po Box 781076Detroit, MI 48278-1076
Phone 317-528-4800 · Fax 317-865-1479
Other practice locations
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Other Family Nurse Practitioner providers in Beech Grove, IN
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- Joseph SchneppNPI 1356825822
- Carrie WorsNPI 1265810741
All 6 Family Nurse Practitioner providers in Beech Grove · All 147 providers in Beech Grove
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