Mary Luckasen
NPI 1366199754 · Internal Medicine Physician · Jbsa Ft Sam Houston, TX
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Luckasen is a Internal Medicine Physician provider in Jbsa Ft Sam Houston, TX (NPI 1366199754).
Provider details
- NPI number
- 1366199754
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- DR.0071968 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Military Health Care Provider171000000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Mary Luckasen's NPI number?
- Mary Luckasen's National Provider Identifier (NPI) is 1366199754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Luckasen's specialty?
- Mary Luckasen is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Luckasen located?
- Mary Luckasen's practice location on file with NPPES is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504.
- What is Mary Luckasen's phone number?
- The practice phone number listed in the NPPES registry for Mary Luckasen is (210) 916-5910.
- Does Mary Luckasen accept Medicare?
- Mary Luckasen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Luckasen's NPI active?
- Yes — Mary Luckasen's NPI (1366199754) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.