Nyssa Renee' Luckey, QMHS
Case Manager/Care Coordinator in Newark, OH. Individual provider (NPI-1).
NPI number1669998936
StatusActive
Last updated in NPPESAug 18, 2017
Details
- NPI
- 1669998936
- Entity type
- Individual (NPI-1)
- Name
- Nyssa Renee' Luckey
- Credential
- QMHS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2017
- Last updated
- Aug 18, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
65 Messimer DrNewark, OH 43055-1874
Phone 740-485-6221
Mailing address
506 S McKenzie StMount Vernon, OH 43050-4131
Phone 740-336-3475
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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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All 197 Case Manager/Care Coordinator providers in Newark · All 2,004 providers in Newark
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