Matthew R Lutjens, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001148 Issued in SD

Practice address

105 S State St Ste 113
Aberdeen, SD 57401-4502

Phone

(605) 225-0378

Fax

(605) 225-7919

NPI assigned

Oct 7, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera St Lukes Hospital, Aberdeen, SD, CCN 430014

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.lutjens@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avera St. Luke'S

  dba Avera Internal Medicine Aberdeen

  • Internal Medicine Physician
  • Aberdeen, SD
  • NPI 1215100813
  Medicare reassignment Care Compare group NPD
• Avera St Marys

  dba Avera St. Mary's Hospital

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Medicare reassignment NPD
• Avera St Marys

  dba Avera St Marys Hospital ER CRNA

  • Emergency Medicine Physician
  • Pierre, SD
  • NPI 1073305496
  NPD
• Avera St. Luke'S

  dba Avera Ear Nose & Throat Aberdeen

  • Otolaryngology Physician
  • Aberdeen, SD
  • NPI 1376831933
  NPD
• Avera St. Lukes

  dba Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
  • NPI 1477594430
  NPD
• Avera St. Mary'S

  dba Avera Therapy

  • Physical Therapist
  • Pierre, SD
  • NPI 1972082683
  NPD
• Avera St Lukes

  dba Avera Clinic of Ellendale

  • Rural Health Clinic/Center
  • Ellendale, ND
  • NPI 1760423057
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023568516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-2876",
            "fax_number": "605-622-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S STATE ST STE 113",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014502",
            "telephone_number": "605-225-0378",
            "fax_number": "605-225-7919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062830",
            "country_code": "US",
            "telephone_number": "605-697-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 6th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574014538",
            "country_code": "US",
            "telephone_number": "605-622-8689",
            "fax_number": "605-622-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTJENS",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lost and Found, LLC
• Caroline J Lundell, MD
• Allie Marie Lundquist
• Melanie Lundquist
• Kara M Lunzman, O.D.
• Thomas Langworthy Luzier, M.D.
• James Brian Macdougall, MD
• Angela Marie Mackner, FNP-C
• Makayla Madsen, RBT
• Randy Mages, DC

• Family Nurse Practitioner in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.