Individual provider Active NPI

Luke Schwartz Moretti, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeville, MN
National Provider Identifier
1386099505
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4493 Issued in MN
Practice address
20795 Keokuk Ave
Lakeville, MN 55044-6004
Phone
(952) 428-1030
Fax
(952) 428-0399
NPI assigned
Apr 25, 2016
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4493 MN Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X CNP4493 MN

Addresses

Primary practice location

20795 Keokuk Ave
Lakeville, MN 55044-6004

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160819001127 MN Practitioner - Nurse Practitioner 4880989599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Minnesota Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Psychological Consultants, LLCGroup PAC ID 3678596285, 15 clinicians

Practice addresses (Care Compare)

7236 Forestview Lane N
Maple Grove, MN 55369

7236 Forestview LN N
Maple Grove, MN 55369-5656
Phone (763) 416-4167

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4493MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jun 1, 2023 Accepting new patients
Mental Health Counseling Services, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Jul 16, 2016 Accepting new patients
Fairview Express Care CurrentSince Jul 16, 2016 Accepting new patients
Innovative Psychological Consultants, LLC CurrentSince May 12, 2025 Accepting new patients
Allina Health System CurrentSince Jun 1, 2023 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

20795 Keokuk Ave
Lakeville, MN 55044
Phone (952) 428-1030

11334 86th Ave N
Maple Grove, MN 55369
Phone (763) 255-2125

7236 Forestview Ln N
Maple Grove, MN 55369
Phone (763) 416-4167

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2450 Riverside Ave
#6A
Minneapolis, MN 55454

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

615 1st Ave NE
Ste 310
Minneapolis, MN 55413

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1386099505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20795 KEOKUK AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446004",
            "telephone_number": "952-428-1030",
            "fax_number": "952-428-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ MORETTI",
        "first_name": "LUKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "4493",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP4493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.