Individual provider Active NPI

Eirawen Luettgen, ARNP, FNP, ENP

  • Family Nurse Practitioner
  • Walton, NY
National Provider Identifier
1699259002
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343678 Issued in NY
Practice address
1 Titus PL
Walton, NY 13856-1457
Phone
(607) 865-2100
NPI assigned
Sep 20, 2018
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202006070NP-PP OR
Family Nurse Practitioner 363LF0000X APN.0994154-NP CO
Family Nurse Practitioner 363LF0000X AP60909551 WA
Family Nurse Practitioner 363LF0000X 56323 NM
Family Nurse Practitioner 363LF0000X 343678 NY Primary

Addresses

Primary practice location

1 Titus PL
Walton, NY 13856-1457

Mailing address

1705 SE Meadowbrook Blvd Ste 2
College Place, WA 99324-1756
Phone (888) 227-3312

Other practice location 1

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NM, WA, CO, OR5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20181218001705 NY Practitioner - Nurse Practitioner 0345585436 Reassigns benefits to 6 organizations
I20190717000942 NM Practitioner - Nurse Practitioner 0345585436 Reassigns benefits to 1 organization
I20200331002037 WA Practitioner - Nurse Practitioner 0345585436 Reassigns benefits to 4 organizations
I20241010001814 CO Practitioner - Nurse Practitioner 0345585436 Reassigns benefits to 3 organizations
I20260618002480 OR Practitioner - Nurse Practitioner 0345585436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Phillips County Hospital DistrictGroup PAC ID 9638161615, shared by 5 NPIs, 17 clinicians
Eugene Emergency Physicians PCGroup PAC ID 2264330448, 33 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1001 E Johnson St
Holyoke, CO 80734-1854
Phone 97085422412130

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-7300

7400 Menaul Blvd NE
Albuquerque, NM 87110-3636
Phone (505) 596-2400

8300 Constitution Ave NE
Albuquerque, NM 87110-7613

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994154-NPCOMDFamily Nurse Practitioner
202006070NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Apr 14, 2024 Accepting new patients
Physicians Medical Associates New York PC Current Accepting new patients
Tacoma Emergency Care Physicians, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Multicare Health System CurrentSince Jun 22, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 1, 2018 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Multicare Health System CurrentSince Jun 22, 2022 Accepting new patients
East Phillips County Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Cep America LLC Current Accepting new patients
Dobbs Ferry Emergency Medicine, PC CurrentSince Feb 12, 2024 Accepting new patients
Physicians Medical Associates New York PC CurrentSince Dec 1, 2024 Accepting new patients
Upstate Ny Physician PLLC CurrentSince May 22, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Cep America LLC CurrentSince Apr 8, 2022 Accepting new patients
United Medical Associates, P.C. CurrentSince Apr 14, 2024 Accepting new patients
Wajeeh Sana Physician PC CurrentSince Mar 6, 2024 Accepting new patients
Cep America LLC CurrentSince Apr 8, 2022 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Current Accepting new patients
Health First Urgent Care, PLLC CurrentSince Dec 7, 2020 Accepting new patients
East Phillips County Hospital District CurrentSince Oct 1, 2024 Accepting new patients
East Phillips County Hospital District Current Accepting new patients
Health First Urgent Care, PLLC CurrentSince Dec 7, 2020 Accepting new patients
East Phillips County Hospital District Past Accepting new patients
Trans Aero Limited PastSince Jun 12, 2019 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
East Phillips County Hospital District Past Accepting new patients
East Phillips County Hospital District Past Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1001 E Johnson St
Holyoke, CO 80734
Phone (970) 854-2241

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

5426 Road 68
Ste D
Pasco, WA 99301

37 Columbia Point Dr
Richland, WA 99352
Phone (509) 300-1500

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: eirawen.luettgen.1@15466.direct.athenahealth.com
  • Direct secure messaging: eluettgen274841@direct.phs.org
  • Direct secure messaging: esutliffe553733@direct.peacehealth.org

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 3

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1699259002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SE MEADOWBROOK BLVD STE 2",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241756",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TITUS PL",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561457",
            "telephone_number": "607-865-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5222",
            "fax_number": "541-767-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUETTGEN",
        "first_name": "EIRAWEN",
        "name_prefix": "Ms.",
        "credential": "ARNP, FNP, ENP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202006070NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994154-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60909551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56323",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, NY

Sources for this page

Verify at the official NPI Registry.