Individual provider Active NPI

Bobby-Jo Ann Lutner, CRNA

  • Certified Registered Nurse Anesthetist
  • Virginia Beach, VA
National Provider Identifier
1912220880
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024168666 Issued in VA
Practice address
134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone
(757) 473-0044
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024168666 VA Primary

Addresses

Primary practice location

134 Business Park Dr
Virginia Beach, VA 23462-6523

Mailing address

156 Terwillinger Rd
Chesapeake, VA 23323-3907
Phone (757) 606-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100607000480 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335279041 Reassigns benefits to 10 organizations
I20221213000401 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335279041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Virginia AnesthesiaGroup PAC ID 3476989716, 2 clinicians
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians

Practice addresses (Care Compare)

208 Carmichael Way
Chesapeake, VA 23322-2183
Phone (757) 892-4265

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168666VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Sep 12, 2020 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Apr 1, 2020 Accepting new patients
Goodwin & Snyder Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Jun 4, 2019 Accepting new patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2020 Accepting new patients
Eastern Virginia Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2019 Accepting new patients
Atlantic Anesthesia, Inc Anesthesiology CurrentSince Apr 1, 2010 Accepting new patients
Ambulatory Anesthesia Associates LLC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Chesapeake Hospital Authority Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

400 10th St E
Waconia, MN 55387

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

208 Carmichael Way
Chesapeake, VA 23322
Phone (757) 892-4265

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1912220880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 TERWILLINGER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233233907",
            "telephone_number": "757-606-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BUSINESS PARK DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626523",
            "telephone_number": "757-473-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTNER",
        "first_name": "BOBBY-JO",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.