Individual provider Active NPI

Jessica Luther, FNP

  • Family Nurse Practitioner
  • Benton City, WA
National Provider Identifier
1902291768
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60545792 Issued in WA
Practice address
701 Dale Ave
Benton City, WA 99320-5250
Phone
(509) 588-4075
Fax
(509) 588-4197
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 AP60545792 WA Primary

Addresses

Primary practice location

701 Dale Ave
Benton City, WA 99320-5250

Mailing address

723 Memorial St
Prosser, WA 99350-1524
Phone (509) 786-2222

Other identifiers 1

IdentifierTypeStateIssuer
1902291768MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jluther1110031@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150514000950 WA Practitioner - Nurse Practitioner 9436479425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

336 Chardonnay Ave
Prosser, WA 99350-9515

701 Dale Ave
Benton City, WA 99320-5250
Phone (509) 588-4075

723 Memorial St
Prosser, WA 99350-1524
Phone 50978655995599

723 Memorial St
Prosser, WA 99350-1593

820 Memorial St
Suite 3
Prosser, WA 99350-2504
Phone 50978655995599

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60545792WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Apr 1, 2017 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Apr 1, 2017 Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients

Locations

701 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

701 Dale Ave
Ste A
Benton City, WA 99320
Phone (509) 588-4075

1003 Wallace Way
Grandview, WA 98930
Phone (509) 203-1080

336 Chardonnay Ave
#B
Prosser, WA 99350
Phone (509) 786-0031

336 Chardonnay Ave
#A
Prosser, WA 99350
Phone (509) 786-1576

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

Interoperability endpoints

  • Direct secure messaging: jluther1110031@wm.providencedirect.org

Organizations & group practices 5

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 3

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1902291768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MEMORIAL ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501524",
            "telephone_number": "509-786-2222",
            "fax_number": "509-786-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DALE AVE",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993205250",
            "telephone_number": "509-588-4075",
            "fax_number": "509-588-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60545792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902291768",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jluther1110031@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 Dale Ave",
            "city": "Benton City",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993205250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Benton City, WA

Sources for this page

Verify at the official NPI Registry.