Individual provider Active NPI

Joseph E Lutes III, FNP

  • Family Nurse Practitioner
  • Neosho, MO
National Provider Identifier
1346512696
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012002538 Issued in MO
Practice address
4301 Doniphan Dr
Neosho, MO 64850-9120
Phone
(417) 451-9450
NPI assigned
Feb 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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 2012002538 MO Primary

Addresses

Primary practice location

4301 Doniphan Dr
Neosho, MO 64850-9120

Mailing address

4301 Doniphan Dr
Neosho, MO 64850-9120
Phone (417) 451-9450

Other identifiers 1

IdentifierTypeStateIssuer
F1211126OtherMOAMERICAN ACADEMY OF NURSE PRACTITIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20121126000344 MO Practitioner - Nurse Practitioner 2062663065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1504 A N Business
Suite 49
Neosho, MO 64850-6883
Phone (417) 451-4447

927 N 71 Business Hwy
Anderson, MO 64831-9753
Phone (417) 845-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium CurrentSince Aug 11, 2012 Accepting new patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Aug 11, 2012 Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

1335 E Fairview Ave
Carthage, MO 64836
Phone (417) 674-2141

4016 Main St
Cassville, MO 65625
Phone (417) 847-0057

530 S Maiden Ln
Unit M
Joplin, MO 64801

530 S Maiden Ln
Unit Jm
Joplin, MO 64801

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

210 W 10th St
Lamar, MO 64759
Phone (417) 681-0027

1504 N Business 49
#A
Neosho, MO 64850
Phone (417) 346-1201

475 Nelson Ave
Neosho, MO 64850

1504 N Business 49
Ste A
Neosho, MO 64850

Interoperability endpoints

  • Direct secure messaging: joseph.lutes@othcdafc.eclinicaldirectplus.com

Organizations & group practices 4

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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1346512696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DONIPHAN DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509120",
            "telephone_number": "417-451-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 DONIPHAN DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509120",
            "telephone_number": "417-451-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTES",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012002538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F1211126",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

Verify at the official NPI Registry.