Kerri Lutjens, CNP
Individual provider Active NPI Family Nurse Practitioner · Parkston, SD
NPI 1023716792 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1023716792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP002728 (SD)
- Practice address
- 401 W Glynn Dr
Parkston, SD 57366-9605 - Phone
- (605) 928-7961
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Benedict Health Center
Practice addresses (Care Compare)
401 W Glynn Dr
Parkston, SD 57366-9605
Phone 6059287961123
Hospital & facility affiliations
- Avera St Benedict Health Center - Cah
- Avera Queen of Peace
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220002850 | SD | Practitioner - Nurse Practitioner | 7911357785 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Benedict Health Center | Single Specialty | Current |
Accepting new patients |
| St Benedict Health Center | Current |
Accepting new patients | |
| St Benedict Health Center | Single Specialty | Current | Accepting new patients |
Locations
401 W Glynn Dr
Parkston, SD 57366
Phone (605) 928-3311
Interoperability endpoints
- kerri.lutjens@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | R032678 | SD | |
| Family Nurse Practitioner | 363LF0000X | CP002728 | SD | Yes |
Addresses
Primary practice location
401 W Glynn Dr
Parkston, SD 57366-9605
Mailing address
720 W 15TH Ave
Mitchell, SD 57301-5507
Phone (605) 770-2375
Other providers in Parkston, SD
- Sarah Holloway
- Richard W. Honke II
- Nicholas Patrick Kummer
- Denise A Leischner
- Vicki Lubbers
- Payton Robert Monson
- Thomas Herman Neumayr
- Parkston Chiropractic Clinic, Prof. L.L.C.
- Parkston Drug Inc
- Parkston Rural Ambulance District
All providers in Parkston, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.