JALEN K LUTER
NPI 1063197812
Nurse Anesthetist, Certified Registered in Columbia, SC
About Jalen K Luter NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JALEN K LUTER (NPI 1063197812) is an individual nurse anesthetist, certified registered in Columbia, South Carolina, licensed in South Carolina (31439) and active in the NPI registry since June 2023. He maintains a secondary practice location in Harrogate and is a graduate of Lincoln Memorial University Medical Department (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jalen K Luter is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jalen Luter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 272 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29201
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 Jalen Luter's NPI number?
The NPI number for Jalen Luter is 1063197812. It was assigned to this individual provider in the NPPES registry on June 20, 2023.
Where is Jalen Luter located?
Jalen Luter practices at 1930 Blanding St, Columbia, SC 29201. The listed phone number is (180) 325-6410.
What is Jalen Luter's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jalen Luter enrolled in Medicare?
Yes. Jalen Luter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jalen Luter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jalen Luter reassigns Medicare benefits to Beach Anesthesia, LLC (Myrtle Beach, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jalen Luter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jalen Luter accept?
Health plans from Blue Cross and Blue Shield of Texas list Jalen Luter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jalen Luter was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jalen K Luter · NPI 1063197812
Nurse Anesthetist, Certified Registered physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1063197812 (Entity type: Individual)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 31439 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1930 BLANDING ST, Columbia, SC 29201-3520
- **Phone:** (180) 325-6410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Beach Anesthesia, LLC (NPI 1215061429, Myrtle Beach, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2025
## Record status
- **NPPES last updated:** June 8, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1063197812) · Data from the CMS NPPES public registry.