Individual provider Active NPI

Katelyn Marie Luter, NP

  • Primary Care Nurse Practitioner
  • Teaneck, NJ
National Provider Identifier
1770923336
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26-NJ00447300 Issued in NJ
Practice address
870 Palisade Ave Ste 302
Teaneck, NJ 07666-3446
Phone
(201) 836-9696
Fax
(201) 836-4716
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26-NJ00447300 NJ Primary

Addresses

Primary practice location

870 Palisade Ave Ste 302
Teaneck, NJ 07666-3446

Mailing address

870 Palisade Ave Ste 302
Teaneck, NJ 07666-3446
Phone (201) 836-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131106000287 NJ Practitioner - Nurse Practitioner 4981839685 Reassigns benefits to 1 organization
I20200616002794 MT Practitioner - Nurse Practitioner 4981839685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

937 Highland Blvd
Suite 5510
Bozeman, MT 59715-6916
Phone (406) 414-3959

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26-NJ00447300NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Setzer M.D., P.C. CurrentSince Jun 1, 2020 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Nov 4, 2024 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Nov 4, 2024 Accepting new patients
Gangaram Ragi CurrentSince Mar 18, 2016 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Epiphany Dermatology of Montana, PLLC PastSince Jun 1, 2020 Accepting new patients

Locations

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

937 Highland Blvd
Ste 5510
Bozeman, MT 59715
Phone (406) 414-3959

4515 Valley Commons Dr
Ste 202
Bozeman, MT 59718
Phone (406) 587-7546

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

870 Palisade Ave
Ste 302
Teaneck, NJ 07666
Phone (201) 836-9696

Organizations & group practices 8

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1770923336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 302",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663446",
            "telephone_number": "201-836-9696",
            "fax_number": "201-836-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 302",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663446",
            "telephone_number": "201-836-9696",
            "fax_number": "201-836-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTER",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26-NJ00447300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.