Individual provider Active NPI

Jocelyn Marie Lutkus, RD, CSO, LDN, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1861919151
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085012196 Issued in IL
Practice address
675 N Saint Clair St Ste 17-100
Chicago, IL 60611-5968
Phone
(312) 695-0990
Fax
(312) 694-7434
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164005630 IL
Physician Assistant 363A00000X 085012196 IL Primary

Addresses

Primary practice location

675 N Saint Clair St Ste 17-100
Chicago, IL 60611-5968

Mailing address

675 N Saint Clair St Ste 17-100
Chicago, IL 60611-5968
Phone (312) 695-0990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlutkus@nm.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1861919151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST STE 17-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115968",
            "telephone_number": "312-695-0990",
            "fax_number": "312-694-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST STE 17-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115968",
            "telephone_number": "312-695-0990",
            "fax_number": "312-694-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTKUS",
        "first_name": "JOCELYN",
        "middle_name": "MARIE",
        "credential": "RD, CSO, LDN, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005630",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085012196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlutkus@nm.org",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "address_1": "675 N Saint Clair St Ste 21-100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606115970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.