Peyton Leigh Lucero, is a medicare enrolled "Nurse Practitioner - Family" in Pembroke, Kentucky. She graduated from nursing school in 2026 and has 0 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
124 W Nashville St, Pembroke, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Peyton Leigh Lucero is licensed to practice in Kentucky (license number 4059054) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1942150156.
Provider's Profile
| Full Name | Peyton Leigh Lucero |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 0 Years |
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| Location | 124 W Nashville St, Pembroke, Kentucky |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Peyton Leigh Lucero graduated from nursing school in 2026
NPI Data:
- NPI Number: 1942150156
- Provider Enumeration Date: 01/29/2026
- Last Update Date: 06/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 1355813320
- Enrollment ID: I20260611000618
Medical Identifiers
Medical identifiers for Peyton Leigh Lucero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942150156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 2024020656 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4059054 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peyton Leigh Lucero is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Peyton Leigh Lucero, Po Box 269084, Dept 1102, Oklahoma City, OK 73126-9084 Ph: () - | Peyton Leigh Lucero, 124 W Nashville St, Pembroke, KY 42266-9763 Ph: (731) 394-1145 |
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