Patricia Ann Luetkemeier, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704232202 Issued in MI

Practice address

211 S Crapo St
Ste L
Mt Pleasant, MI 48858-2961

Phone

(989) 772-1213

Fax

(989) 772-7147

NPI assigned

Jun 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• McLaren Central Michigan

  • General Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1629004593
  NPD (past)

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1376547836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WESTVIEW DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488012169",
            "telephone_number": "989-466-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "STE L",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "989-772-1213",
            "fax_number": "989-772-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETKEMEIER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-11",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704232202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4998504",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5008754770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liisa M Low, NP
• Bria Jeanne Lowe, PA-C
• Vivian Frances Lu
• Mariel Luecke
• Jazmin Lynn Luellen, LMSW
• Laura Jean Lund, DDS
• Andrew Lundahl, PHARMD
• Coaline Luplow
• Rita Lutes-Pulley
• Jenelle Lynch, LLMSW

• Adult Health Nurse Practitioner in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.