Individual provider Active NPI

Lusana Schutz, DO

  • Emergency Medicine Physician
  • Port Angeles, WA
National Provider Identifier
1972731628
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP60387663 Issued in WA
Practice address
939 Caroline St
Port Angeles, WA 98362-3997
Phone
(360) 417-7000
Fax
(360) 452-5772
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OP60387663 WA Primary

Addresses

Primary practice location

939 Caroline St
Port Angeles, WA 98362-3997

Mailing address

PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 417-7111

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140120000588 WA Practitioner - Emergency Medicine 7810152618 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 10, 2023 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Feb 3, 2024 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 25, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 10, 2023 Accepting new patients
Sequim Health, LLC Past Accepting new patients
Wailea Beach, LLC Past Accepting new patients
Crestwood Convalescent - Port Angeles LLC Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1274 7th St
#A
Port Townsend, WA 98368
Phone (360) 385-2204

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1972731628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620146",
            "telephone_number": "360-417-7111",
            "fax_number": "360-417-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623997",
            "telephone_number": "360-417-7000",
            "fax_number": "360-452-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "LUSANA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60387663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.