Maricel Quiming Lucero
NPI 1205602141ActiveIndividual· Nurse Practitioner, Gerontology· San Angelo, TX
Nurse Practitioner, Gerontology with Shannon Clinic and 2 other groups, practicing in San Angelo, Texas. Mostly services rather than prescriptions: Medicare paid $10,755 for 106 patients in 2024, with only 27 Part D claims. Averitas Pharma Inc. was the largest of 2 companies reporting payments in 2025, $54.91 in all, mostly food and beverage. Lists Heart of Texas Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1205602141 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 1, 2023 |
| Last updated in NPPES | Dec 1, 2023 |
| Certified by provider | Nov 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 1108821 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 176 across 10 procedure codes |
| Paid by Medicare | $10,755 |
Part D prescriptions in 2024
| Prescriptions (claims) | 27 · 27 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $173.82 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Shannon ClinicSan Angelo, TX · 559 clinicians
- The West Texas Rehabilitation CenterSan Angelo, TX · 466 clinicians
- Dora Roberts Rehabilitation CenterBig Spring, TX · 106 clinicians
Hospital affiliations
- Heart of Texas Memorial HospitalBrady, TX
- Shannon Medical CenterSan Angelo, TX
Other facilities
- Shannon Home Health ServicesHome health agency · San Angelo, TX
Industry payments (Open Payments)
- 2025$54.91 · 2 payments from 2 companies
- 2024$14.79 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Averitas Pharma Inc. | $27.99 | 1 |
| Vertex Pharmaceuticals Incorporated | $26.92 | 1 |
What the 2025 payments were for
- Food and Beverage$54.91 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other gerontology nurse practitioners in San Angelo
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