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

Mrs. Kallyn Jean Lucero, NP

Individual provider Nurse Practitioner · NPI 1629729843

Mrs. Kallyn Jean Lucero, NP is a Nurse Practitioner in Midland, Michigan. Qualified in 2021, 5 years ago. Practices with Jagannathan Neurosurgical Institute PLLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3009 N Saginaw Rd
Midland, MI 48640-4555
Phone: (989) 633-1350
Fax: (989) 633-1355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704286472 (MI)

Record details

NPI number1629729843
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 11, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jagannathan Neurosurgical Institute Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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