Active NPI
Caitlin Marie Luttropp, PA-C
- Medical Physician Assistant
- Whitehall, WI
National Provider Identifier
1346807294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4765
- Practice address
- 18601 Lincoln St
Whitehall, WI 54773-8605 - Phone
- (715) 538-4361
- NPI assigned
- May 28, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4765 | WI | Primary |
Addresses
Primary practice location
18601 Lincoln St
Whitehall, WI 54773-8605
Mailing address
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Other names 1
- Caitlin M Kuckes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190916002637 | WI | Practitioner - Physician Assistant | 9537498530 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-County Memorial Hospital Inc
Practice addresses (Care Compare)
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Hospital & facility affiliations
- Gundersen Tri-County Hospital & Clinics
- Gundersen Lutheran Medical Center
- Gundersen Tri-County Hospital & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4765 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Interoperability endpoints
- cluttropp318185@direct.emplifyhealth.org
Organizations & group practices 6
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.
-
- Land Ambulance
- Whitehall, WI
- NPI 1396438388
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1285988733
-
- Rural Health Clinic/Center
- Blair, WI
- NPI 1659625192
-
- Clinic/Center
- Independence, WI
- NPI 1073335642
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1346807294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18601 LINCOLN ST",
"city": "WHITEHALL",
"state": "WI",
"postal_code": "547738605",
"telephone_number": "715-538-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18601 LINCOLN ST",
"city": "WHITEHALL",
"state": "WI",
"postal_code": "547738605",
"telephone_number": "715-538-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTROPP",
"first_name": "CAITLIN",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "4765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "KUCKES",
"middle_name": "M",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Whitehall, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.