Individual provider Active NPI

Kathi A Lutz, RN, FNP

  • Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1861461071
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
093278 Issued in MO
Practice address
1605 E Broadway Ste 300
Columbia, MO 65201-8023
Phone
(573) 256-7700
Fax
(573) 256-3003
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 093278 MO Primary

Addresses

Primary practice location

1605 E Broadway Ste 300
Columbia, MO 65201-8023

Mailing address

1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700

Other identifiers 1

IdentifierTypeStateIssuer
423927805MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathi.lutz@mcs.direct.gemmsnet.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100308000859 MO Practitioner - Nurse Practitioner 6901941459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chas Physician Services LLCGroup PAC ID 7810038064, 25 clinicians

Practice addresses (Care Compare)

1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307
  • Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
  • Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chas Physician Services LLC CurrentSince Jan 1, 2011 Accepting new patients
Chas Physician Services, LLC CurrentSince Jan 1, 2011 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

404 Providence Rd
Macon, MO 63552
Phone (660) 395-8914

300 N Morley St
Moberly, MO 65270
Phone (660) 263-0909

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 7

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1861461071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY",
            "address_2": "SUITE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-256-7700",
            "fax_number": "573-256-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-256-7700",
            "fax_number": "573-256-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "KATHI",
        "middle_name": "A",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "093278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423927805",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathi.lutz@mcs.direct.gemmsnet.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "1605 E Broadway Ste 300",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.