Individual provider Active NPI

Alice Ann Lutz

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1750958658
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1035575 Issued in TX
Practice address
4001 W 15TH St
Plano, TX 75093-5841
Phone
(972) 696-0030
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 1035575 TX Primary

Addresses

Primary practice location

4001 W 15TH St
Plano, TX 75093-5841

Mailing address

1231 Cedar Pine LN
Oak Point, TX 75068-3061
Phone (817) 692-8489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211018000190 TX Practitioner - Nurse Practitioner 0547668865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgery Associates of NTX PLLCGroup PAC ID 7810219375, 50 clinicians

Practice addresses (Care Compare)

4001 W 15TH St
Suite 425
Plano, TX 75093-5848
Phone (972) 696-0030

Hospital & facility affiliations

  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
63.38
Promoting interoperability
99
Improvement activities
40
Cost
76.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1035575TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Associates of North Texas P a Current Accepting new patients
Surgery Associates of NTX, PLLC CurrentSince Sep 13, 2021 Accepting new patients
Elite Orthopaedics of Irving PLLC PastSince Dec 16, 2012 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

6750 N MacArthur Blvd
Ste 270
Irving, TX 75039
Phone (214) 222-8150

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4001 W 15th St
Ste 425
Plano, TX 75093
Phone (972) 612-2500

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.

Hospital & facility affiliations 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1750958658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 CEDAR PINE LN",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750683061",
            "telephone_number": "817-692-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "972-696-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "ALICE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.