Individual provider Active NPI

Tracy Ann Lutche, FNP-BC

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1609332485
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95010602 Issued in CA
Practice address
1350 Florin Rd
Sacramento, CA 95822-4202
Phone
(916) 392-5184
NPI assigned
Feb 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 95010602 CA
Family Nurse Practitioner 363LF0000X NP95010602 CA Primary

Addresses

Primary practice location

1350 Florin Rd
Sacramento, CA 95822-4202

Mailing address

1350 Florin Rd
Sacramento, CA 95822-4202
Phone (916) 392-5184

Other identifiers 1

IdentifierTypeStateIssuer
95010602OtherCAFNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221118000680 CA Practitioner - Nurse Practitioner 6002149788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SacramentoGroup PAC ID 0345231247, 45 clinicians

Practice addresses (Care Compare)

1400 A St
Sacramento, CA 95811-0612
Phone (916) 440-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95010602CAMDFamily Nurse Practitioner
NP95010602CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Human Resources Consultants, Inc. CurrentSince Jul 7, 2022 Accepting new patients
County of Sacramento CurrentSince Jul 7, 2022 Accepting new patients
County of Sacramento Current Accepting new patients

Locations

1400 A St
Bldg A
Sacramento, CA 95811
Phone (916) 440-1500

7001 East Pkwy
#A
Sacramento, CA 95823
Phone (916) 875-5701

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": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1609332485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224202",
            "telephone_number": "916-392-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224202",
            "telephone_number": "916-392-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTCHE",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-16",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95010602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "95010602",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.