Bobbi J Luttrell, NP
Individual provider Active NPI Family Nurse Practitioner · Spencer, IN
NPI 1366969271 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1366969271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71007085A (IN)
- Practice address
- 35 Bob Babbs Dr
Spencer, IN 47460-6828 - Phone
- (812) 652-1700
- Fax
- (812) 954-5023
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana Health Centers Inc
Practice addresses (Care Compare)
35 Bob Babbs Dr
Spencer, IN 47460-6828
Phone (812) 652-1700
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220912002196 | IN | Practitioner - Nurse Practitioner | 3072998087 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71007085A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Health Centers Inc | Current |
Accepting new patients | |
| Indiana Health Centers, Inc. | Current |
Accepting new patients | |
| Indiana Health Centers, Inc. | Family | Past | Accepting new patients |
| Indiana Health Centers, Inc | Past | Accepting new patients | |
| Franciscan Senior Health and Wellness | Past |
Accepting new patients |
Locations
8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335
765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990
35 Bob Babbs Dr
Spencer, IN 47460
Phone (812) 652-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71007085A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71007085A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71007085A | IN | Yes |
Addresses
Primary practice location
35 Bob Babbs Dr
Spencer, IN 47460-6828
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335
Other providers in Spencer, IN
- Robin Leigh Lane
- Betty Jean Lawrance
- James Loughead
- Sarah Catherine Lowe
- Jennifer R Ludwig
- Major Hospital
- Iva Fu Martin
- McKay Family Pharmacy
- Ashley Meek
- Elaine Carol Meyer
All providers in Spencer, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.