Kathryne Grace Lutz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA063118 Issued in PA

Practice address

416 S Main St
Mansfield, PA 16933-1510

Phone

(570) 662-2002

NPI assigned

Oct 18, 2021

Last updated

Feb 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Penn Comprehensive Health ServicesGroup PAC ID 0446245880, 43 clinicians

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
• Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryne.g.lutz@upmcdirect.com

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

• Susquehanna Physician Services

  dba Susquehanna Health Medical Group

  • Internal Medicine Physician
  • Williamsport, PA
  • NPI 1992743868

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• North Penn Comprehensive Health Services

  dba Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Wellsboro, PA
  • NPI 1912093576
  Medicare reassignment Care Compare group
• North Penn Comprehensive Health Services

  dba Sullivan County Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Laporte, PA
  • NPI 1093520587
  NPD
• North Penn Comprehensive Health Services

  dba Wellsboro Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Wellsboro, PA
  • NPI 1235570417
  NPD
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD
• North Penn Comprehensive Health Services

  dba Mansfield Laurel Health Center

  • Federally Qualified Health Center (FQHC)
  • Mansfield, PA
  • NPI 1750461455
  NPD (past)

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

• Upmc Home Healthcare of Central Pennsylvania

  dba Susquehanna Home Care and Hospice Services

  • Home Health Agency
  • Williamsport, PA
  • NPI 1881189256
  Care Compare affiliation
• Upmc Wellsboro

  • Internal Medicine Physician
  • Wellsboro, PA
  • NPI 1275090433

  Hospital

  Care Compare affiliation
• Upmc Wellsboro

  • Critical Access Hospital
  • Wellsboro, PA
  • NPI 1427501766
  Care Compare affiliation

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1285397117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W WELLSBORO ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331411",
            "telephone_number": "570-662-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331510",
            "telephone_number": "570-662-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 High St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013100",
            "country_code": "US",
            "telephone_number": "570-321-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "KATHRYNE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rae Kibler, OD
• Ashley Rochelle Kohler, LCSW, CAADC
• George Daniel Koury, DC
• Kathryn Koury, D.M.D.
• Lisa Kunzmann, LSW
• Alyssa Maine, M.A., CCC-SLP
• Bernard D Makos, LCSW
• James E. Manning IV, MD
• Mansfield Firemen's Ambulance Association Inc
• Mansfield Hearing Aid Center

• Physician Assistant in Mansfield, PA
• Providers in Mansfield, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.