Individual provider Active NPI

Emily Marie Luitjens, MS, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Waite Park, MN
National Provider Identifier
1245587252
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012010717 Issued in MN
Practice address
384 3Rd St NE
Waite Park, MN 56387-1874
Phone
(320) 250-9188
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012010717 MN Primary

Addresses

Primary practice location

384 3Rd St NE
Waite Park, MN 56387-1874

Mailing address

25945 Gateway Dr
Zimmerman, MN 55398-5300
Phone (763) 856-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130104000392 MN Practitioner - Nurse Practitioner 2365695020 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cos PLLCGroup PAC ID 9234594425, 3 clinicians

Practice addresses (Care Compare)

384 3Rd St NE
Waite Park, MN 56387-1874
Phone (320) 250-9188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2640MNMDOptometrist
2012010717MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Dec 17, 2012 Accepting new patients
Fairview Express Care Current Accepting new patients
Jessica Lee, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Sep 8, 2012 Accepting new patients
Fairview Health Services CurrentSince Sep 8, 2012 Accepting new patients
Cos PLLC CurrentSince Jul 1, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2014 Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1411 W Saint Germain St
Ste 202
Saint Cloud, MN 56301
Phone (320) 247-4068

384 3rd St NE
Waite Park, MN 56387
Phone (320) 250-9188

25945 Gateway Dr
Zimmerman, MN 55398
Phone (763) 856-6900

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1245587252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25945 GATEWAY DR",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553985300",
            "telephone_number": "763-856-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871874",
            "telephone_number": "320-250-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUITJENS",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "MS, FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2012010717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

Verify at the official NPI Registry.