Madeline Elaine Luttrell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.0005252 Issued in CO

Practice address

12605 E 16TH Ave
Aurora, CO 80045-2545

Phone

(303) 493-7000

NPI assigned

Jan 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK, CO2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• University Physicians Incorporated

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1962461889

  Emergency Medicine

  Medicare reassignment NPD (past)
• Carepoint Emergency Medicine, PLLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1134590318
  Medicare reassignment
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment
• Emergency Physicians of Midwest City, LLC

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1558386474
  Medicare reassignment
• Medok Mustang, LLC

  • Urgent Care Clinic/Center
  • Yukon, OK
  • NPI 1831553817
  Medicare reassignment
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• University Physicians, Incorporated

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1275045049
  NPD
• University Physicians, Incorporated

  • Behavioral Neurology & Neuropsychiatry Physician
  • Aurora, CO
  • NPI 1386163160
  NPD
• University Physicians, Incorporated

  • Clinical Medical Laboratory
  • Aurora, CO
  • NPI 1396793899
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1780922179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "303-493-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Ridgegate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245522",
            "country_code": "US",
            "telephone_number": "720-255-1000",
            "fax_number": "720-255-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045004",
            "country_code": "US",
            "telephone_number": "866-392-8363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "MADELINE",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005252",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "APA2185",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107907",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013841400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003155283A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200478630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Maria Lusk
• Tad Lusk, MA, LPC
• Elaine Ester Lustig, PHD
• Julio Augusto Correa Pinto Lutterbach, M.D.
• Cosima Gelb Luttman
• Lux Healthcare LLC
• Cosima Lux, CNM
• Ryan Luxon
• Luxottica of America Inc.
• Luxottica of America Inc.

• Medical Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.