Individual provider Active NPI

Gwen Luttfring, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1679957682
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012145 Issued in FL
Practice address
770 W High St
Ste. 240
Lima, OH 45801-3990
Phone
(419) 996-2686
Fax
(419) 996-2687
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 APRN11012145 FL Primary
Family Nurse Practitioner 363LF0000X COA.17753-NP OH

Addresses

Primary practice location

770 W High St
Ste. 240
Lima, OH 45801-3990

Mailing address

509 SE 17TH Ave
Cape Coral, FL 33990-1610
Phone (239) 772-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150805008882 OH Practitioner - Nurse Practitioner 8628382595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

Practice addresses (Care Compare)

477 Cooper Rd
Suite 200
Westerville, OH 43081-8054
Phone (614) 627-2000

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17753-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Feb 12, 2023 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Feb 12, 2023 Accepting new patients
Housecalls MD SWFL, LLC CurrentSince Dec 5, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cape Coral Hospitalists Inc Past Accepting new patients

Locations

7901 Diley Rd
Ste 140
Canal Winchester, OH 43110
Phone (614) 920-3410

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

85 McNaughten Rd
Ste 200
Columbus, OH 43213
Phone (614) 759-1186

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

85 McNaughten Rd
Ste 300
Columbus, OH 43213
Phone 61462720006

1945 Newark Granville Rd
Granville, OH 43023
Phone (614) 627-1870

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

5300 N Meadows Dr
Ste 280
Grove City, OH 43123
Phone (614) 234-8860

4674 Britton Pkwy
Ste 2000
Hilliard, OH 43026

7100 Graphics Way
Ste 2400
Lewis Center, OH 43035
Phone (740) 953-4100

136 E High St
London, OH 43140
Phone (740) 845-0000

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

477 Cooper Rd
Ste 200
Westerville, OH 43081
Phone (614) 459-7676

Interoperability endpoints

  • Direct secure messaging: gluttfring2437532@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1679957682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE 17TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901610",
            "telephone_number": "239-772-0111",
            "fax_number": "239-772-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST",
            "address_2": "STE. 240",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013990",
            "telephone_number": "419-996-2686",
            "fax_number": "419-996-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTFRING",
        "first_name": "GWEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012145",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17753-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.