Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luckricia Olivacce, PA

Individual provider Medical Physician Assistant · NPI 1053788422

Luckricia Olivacce, PA is a Physician Assistant in Hagerstown, Maryland. Qualified in 2013, 13 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
13
Licensed in
MD
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1150 Professional Ct Ste P
Hagerstown, MD 21740-4100
Phone: (301) 665-9696
Fax: (240) 420-5715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0005876 (MD)

Record details

NPI number1053788422
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 1, 2015
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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