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JALEN K LUTER
NPI 1063197812
Nurse Anesthetist, Certified Registered in Columbia, SC

Active since June 20, 2023Accepts Medicare Assignment
1930 BLANDING ST, COLUMBIA, SC 29201(180) 325-6410 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1063197812
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJALEN K LUTER
Location Address1930 BLANDING STColumbia, SC 29201-3520
Mailing Address4615 Forest Dr Apt 521Columbia, SC 29206-3181 · (256) 682-2503
Phone(180) 325-6410
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2025
Enumeration DateJune 20, 2023
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1063197812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in SC · 31439
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1930 BLANDING ST, Columbia, SC 29201
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Secondary Practice Location 1

Location 16965 Cumberland Gap PkwyHarrogate, TN 37752-8231 · Phone (276) 275-1801

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8224518733
PECOS Enrollment IDI20260213003894

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.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CORIN TODD
Occupational Therapist
1930 BLANDING ST
COLUMBIA, SC 29201
Richland County (803) 256-4107
PALMETTO ANESTHESIOLOGY MEDICINE
Anesthesiology
1930 BLANDING ST
COLUMBIA, SC 29201
Richland County (803) 256-4107
MIDLANDS ORTHOPAEDICS SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1930 BLANDING ST
COLUMBIA, SC 29201
Richland County (803) 256-4107

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.

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 2 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.