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

Mrs. Nissa Breann Lucero, NP-C

Individual provider Family Nurse Practitioner · NPI 1811294697

Mrs. Nissa Breann Lucero, NP-C is a Nurse Practitioner in Spanish Fork, Utah. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2011
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

415 N Main St
Spanish Fork, UT 84660-1439
Phone: (801) 798-9700
Fax: (801) 798-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 64501484405 (UT)

Record details

NPI number1811294697
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2011
Last updated in NPPESFebruary 14, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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