Individual provider Active NPI

Karen Lutostanski, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1447631940
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11517 Issued in AZ
Practice address
26 S Desert Ave
Litchfield Park, AZ 85340-4619
Phone
(480) 269-5260
Fax
(480) 863-3972
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8032 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11517 AZ Primary

Addresses

Primary practice location

26 S Desert Ave
Litchfield Park, AZ 85340-4619

Mailing address

3218 E Bell Rd
Unit 1182
Phoenix, AZ 85032-2727
Phone (480) 269-5260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150929001349 AZ Practitioner - Nurse Practitioner 8628386471 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11517AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

22713 S Ellsworth Rd
Ste 101
San Tan Valley, AZ 85142
Phone (480) 474-5670

Interoperability endpoints

  • Direct secure messaging: klutoskanski39666@evernorth.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1447631940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 E BELL RD",
            "address_2": "UNIT 1182",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322727",
            "telephone_number": "480-269-5260",
            "fax_number": "480-863-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S DESERT AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404619",
            "telephone_number": "480-269-5260",
            "fax_number": "480-863-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTOSTANSKI",
        "first_name": "KAREN",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8032",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.