Shelby Headley Luethke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5309 Issued in TN

Practice address

1311 Dowell Springs Blvd
Knoxville, TN 37909-2454

Phone

(865) 588-5121

Fax

(865) 588-2126

NPI assigned

Jun 27, 2022

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 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastrointestinal Associates PCGroup PAC ID 9739132705, 33 clinicians

Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Merit-based Incentive Payment System (MIPS)

Final score

77.77 of 100Reported as group

Quality

58.61

Promoting interoperability

92

Improvement activities

40

Cost

73.97

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sluethke864547@direct.ghs.myhfn.org
• Direct secure messaging: shelby.luethke.p1@direct.bmpg.nextgenshare.com

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.

• Gastrointestinal Associates, PC

  • Gastroenterology Physician
  • Knoxville, TN
  • NPI 1780695999
  Medicare reassignment Care Compare group NPD
• Blount Memorial Physician Group, Inc

  • Family Medicine Physician
  • Alcoa, TN
  • NPI 1699710194
  Medicare reassignment Care Compare group
• Blount Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Maryville, TN
  • NPI 1144286709
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Knoxville Hma LLC

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation
• Prisma Health - Blount Memorial Hospital Inc.

  • General Acute Care Hospital
  • Maryville, TN
  • NPI 1619939071
  Care Compare affiliation

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1497487771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092454",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092454",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETHKE",
        "first_name": "SHELBY",
        "middle_name": "HEADLEY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q080895",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark H. Luck, D.D.S
• Bruce B Ludwig Jr., M.D.
• Barbara Jo Luedeka
• Julie Lueking
• Michael Luethke, DDS
• Mary Lugar, LCSW
• Sladana Lugonjic, CRNA
• Amber G. Luhn, M.D.
• Penny Rosen Lukin, PHD
• Patricia A Lukosius, PH.D.

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.