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JESSICA JOYCE LUTKENHOFF MD
NPI 1013707603
Student in an Organized Health Care Education/Training Program in Mount Clemens, MI

Active since May 08, 2025PECOS Enrolled
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Joyce Lutkenhoff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA JOYCE LUTKENHOFF MD (NPI 1013707603) is an individual student in an organized health care education/training program in Mount Clemens, Michigan and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013707603
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA JOYCE LUTKENHOFFCredential: MD
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 493-8000
Phone(586) 493-8000
Sole ProprietorNo
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1013707603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 HARRINGTON ST, Mount Clemens, MI 48043
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Joyce Lutkenhoff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEMAR GARDEZI MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
WILLIAM B HALACOGLU DO PC
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8101
JAVIER ZARATE
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KRISTIN HOFSTAD PA
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ANDREA PERRIN DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ABIRA MUMTAZ
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
MS. LINDSEY APRIL MCCLAIN CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KEVIN KUNITSKY DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 790-9003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Lutkenhoff's NPI number?

The NPI number for Jessica Lutkenhoff is 1013707603. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Jessica Lutkenhoff located?

Jessica Lutkenhoff practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.

What is Jessica Lutkenhoff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Lutkenhoff enrolled in Medicare?

Yes. Jessica Lutkenhoff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Lutkenhoff was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.