Individual provider Active NPI

Lorie Hutchison, PA-C

  • Physician Assistant
  • Saipan, MP
National Provider Identifier
1417394727
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
201586-1206 Issued in UT
Practice address
1 Lower Navy Hill Road
Navy Hill
Saipan, MP 96950
Phone
(670) 236-8201
Fax
(670) 236-8756
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 201586-1206 UT Primary

Addresses

Primary practice location

1 Lower Navy Hill Road
Navy Hill
Saipan, MP 96950

Mailing address

PMB 133 PO Box 10001
Saipan, MP 96950
Phone (670) 236-8269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160701001728 UT Practitioner - Physician Assistant 8527281716 Reassigns benefits to 2 organizations
I20190110001855 TX Practitioner - Physician Assistant 8527281716 Reassigns benefits to 1 organization
I20191022000960 MT Practitioner - Physician Assistant 8527281716 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wheatland Memorial Healthcare CurrentSince Nov 1, 2023 Accepting new patients
South East Alaska Regional Health Consortium CurrentSince Nov 18, 2018 Accepting new patients
University of Utah Acuity Care Services CurrentSince Jun 1, 2016 Accepting new patients
University of Utah Adult Services CurrentSince Jun 1, 2016 Accepting new patients
University of Utah Acuity Care Services CurrentSince Jun 1, 2016 Accepting new patients
Roundup Memorial Hospital Association CurrentSince Jul 24, 2019 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 18, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Jun 1, 2016 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301

1207 2nd St W
Roundup, MT 59072
Phone (406) 323-2301

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1417394727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 133 PO BOX 10001",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-236-8269",
            "fax_number": "670-236-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LOWER NAVY HILL ROAD",
            "address_2": "NAVY HILL",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-236-8201",
            "fax_number": "670-236-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "LORIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "201586-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

Verify at the official NPI Registry.