Kallyn Jean Lucero, NP
NPI 1629729843ActiveIndividual· Nurse Practitioner· Midland, MI
Nurse Practitioner (NP) with Jagannathan Neurosurgical Institute PLLC, practicing in Midland, Michigan. 85 Medicare patients in 2024, $9,746 paid; nearly all of their 361 Part D prescriptions were generic (94%). Lists McLaren Bay Region and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1629729843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Oct 25, 2022 |
| Certified by provider | Oct 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704286472 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 154 across 25 procedure codes |
| Paid by Medicare | $9,746 |
Part D prescriptions in 2024
| Prescriptions (claims) | 361 · 377 30-day fills |
|---|---|
| Patients | 220 |
| Total drug cost | $3,451 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Jagannathan Neurosurgical Institute PLLCMt Pleasant, MI · 11 clinicians
Hospital affiliations
- McLaren Bay RegionBay City, MI
- Mymichigan Medical Center GladwinGladwin, MI
- Mymichigan Medical Center West BranchWest Branch, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 51 nurse practitioners in Midland · All nurse practitioners in Michigan