Individual provider Active NPI

Krysten A Luthardt, NP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1508573890
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277569 Issued in AZ
Practice address
2919 S Ellsworth Rd Ste 135
Mesa, AZ 85212-2168
Phone
(480) 967-6888
NPI assigned
Nov 4, 2022
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277569 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd Ste 135
Mesa, AZ 85212-2168

Mailing address

2919 S Ellsworth Rd Ste 135
Mesa, AZ 85212-2168

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
I20230104002802 AZ Practitioner - Nurse Practitioner 3971973173 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chestnut Health of Arizona PLLCGroup PAC ID 7517452022, 4 clinicians
I Am Wellness Az LLCGroup PAC ID 8123497344, 35 clinicians
Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians

Practice addresses (Care Compare)

11812 N 19TH Ave
Phoenix, AZ 85029-3536
Phone (602) 900-8828

1616 E Indian School Rd
Suite 135
Phoenix, AZ 85016-8610
Phone (480) 900-9355

202 E Earll Dr
Suite 360
Pheonix, AZ 85012-2677

4555 E Inverness Ave
Suite 112
Mesa, AZ 85206-4630
Phone (480) 361-0110

Merit-based Incentive Payment System (MIPS)

Final score
56.55 of 100Reported as group
Quality
87.14
Promoting interoperability
0
Improvement activities
20
Cost
76.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enticare PC PastSince Feb 18, 2024 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients
Enticare PC PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 11

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1508573890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122168",
            "telephone_number": "480-967-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHARDT",
        "first_name": "KRYSTEN",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "277569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.