Stacey J Lutz-McCain, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

UP00516B Issued in PA

Practice address

135 E 38TH St
Erie, PA 16504-1559

Phone

(814) 860-2361

Fax

(814) 860-2356

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stacey J Lutz Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932211059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12281 EUREKA RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164121276",
            "telephone_number": "814-734-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041559",
            "telephone_number": "814-860-2361",
            "fax_number": "814-860-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ-MCCAIN",
        "first_name": "STACEY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP00516B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "LUTZ",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Lupp II
• Melissa K Lustic-Long, RDN, ATC, CSCS
• Suzanne Luteran, CNP-FAMILY
• Lutheran Home for the Aged
• Sandra L Luthringer, R.D.,L.D.N
• Luxottica of America Inc
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Alexandra Lybrook
• Lori K Lyman, PATHOLOGISTS' ASSIST

• Family Nurse Practitioner in Erie, PA
• Providers in Erie, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.