Peyton Leigh Lucero
Peyton Leigh Lucero is a Nurse Practitioner in Pembroke, Kentucky. Practices with Ultra Health LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Kentucky and Missouri.
- Licensed in
- KY, MO
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
124 W Nashville StPembroke, KY 42266-9763
Phone: (731) 394-1145
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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 4059054 (KY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 2024020656 (MO) |
Record details
| NPI number | 1942150156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 29, 2026 |
| Last updated in NPPES | June 9, 2026 |
| Certification date | June 9, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2026 (0 years in practice) |
| Group practice | Ultra Health Llc — 162 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |