Active NPI
Joseph E Lutes III, FNP
- Family Nurse Practitioner
- Neosho, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012002538
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1211126 | Other | MO | AMERICAN 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Tri-County Health Care Consortium | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Anderson, MO
- NPI 1265428791
-
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1538151733
-
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1649837444
-
- Federally Qualified Health Center (FQHC)
- Carthage, MO
- NPI 1992995120
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.