Individual provider Active NPI

Jennifer Ann Lutz, FNP

  • Nephrology Physician
  • Winchester, VA
National Provider Identifier
1104548429
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0024185043 Issued in VA
Practice address
812 Amherst St
Winchester, VA 22601-3300
Phone
(540) 335-5232
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0024185043 VA Primary

Addresses

Primary practice location

812 Amherst St
Winchester, VA 22601-3300

Mailing address

778 Race Track Rd
Edinburg, VA 22824-2738
Phone (540) 335-5232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20221217000473 VA Practitioner - Nurse Practitioner 9133598907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Physician Associates of Winchester PLCGroup PAC ID 3870692551, 7 clinicians

Practice addresses (Care Compare)

812 Amherst St
Suite 201
Winchester, VA 22601-3344
Phone (540) 450-1600

Hospital & facility affiliations

  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
  • Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311
  • Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309
  • Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physician Associates of Winchester PLC CurrentSince Nov 4, 2022 Accepting new patients

Locations

812 Amherst St
Ste 201
Winchester, VA 22601
Phone (540) 450-1600

Interoperability endpoints

  • Direct secure messaging: jennifer.lutz@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1104548429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 RACE TRACK RD",
            "city": "EDINBURG",
            "state": "VA",
            "postal_code": "228242738",
            "telephone_number": "540-335-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013300",
            "telephone_number": "540-335-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0024185043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.