Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Anthony Jared Lucca, PA-C

Individual provider Physician Assistant · NPI 1386068955

Mr. Anthony Jared Lucca, PA-C is a Physician Assistant in Springfield, Illinois. Qualified in 2013, 13 years ago. Practices with Memorial Medical Center, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 N 1st St
Springfield, IL 62781-0001
Phone: (217) 788-3156
Fax: (217) 788-6459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)

Record details

NPI number1386068955
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 18, 2014
Last updated in NPPESFebruary 18, 2014

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 Memorial Medical Center — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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