Individual provider Active NPI

Rachel Ann Luettke, PA-C

  • Physician Assistant
  • Elgin, IL
National Provider Identifier
1467926204
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006905 Issued in IL
Practice address
860 Summit St Ste 123
Elgin, IL 60120-4350
Phone
(847) 741-0026
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 085006905 IL Primary

Addresses

Primary practice location

860 Summit St Ste 123
Elgin, IL 60120-4350

Mailing address

860 Summit St Ste 123
Elgin, IL 60120-4350

Other practice location 1

1041 W Stearns Rd
Bartlett, IL 60103-4509
Phone (630) 716-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220817003586 IL Order and Referring Only - Physician Assistant 2860875259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085006905ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
V Susarla MDSC PastSince Feb 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachel.luettke.p1@direct.gefcc.nextgenshare.com

Organizations & group practices 1

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1467926204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SUMMIT ST STE 123",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SUMMIT ST STE 123",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204350",
            "telephone_number": "847-741-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 W Stearns Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "IL",
            "postal_code": "601034509",
            "country_code": "US",
            "telephone_number": "630-716-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUETTKE",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.