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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. John R Luckasen, M.D.

Dermatology Physician in Omaha, NE · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114921525

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Registry record

Entity type Individual (Type 1)
Name Mr. John R Luckasen
Credential M.D.
Sex Male
Practice address 4242 Farnam St, Ste 360, Omaha, NE, 68131
Fax (402) 552-2573
Enumeration date Jun 13, 2005
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 12194 (NE) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
139381XX Other NE PREFERRED CARE
91864 Other IA BLUE SHIELD
47062325613 Medicaid NE -
501880 Other PA BLUE SHIELD
0001967 Other SD BLUE SHIELD
00686 Other NE BLUE SHIELD
0918649 Medicaid IA -
0300003 Other NE UNITED HEALTH CARE
7787680 Medicaid SD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does John Luckasen practice?
The practice location on file with NPPES is in Omaha, NE. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for John Luckasen?
The National Provider Identifier (NPI) for John Luckasen is 1114921525, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.