CARRIE ANN LUTMAN FNP-BC
NPI 1073030789
Nurse Practitioner - Family in Sparta, IL

Q: What is Carrie Lutman's NPI number?

The NPI number for Carrie Lutman is 1073030789. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Q: What is Carrie Lutman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carrie Lutman was last updated on May 29, 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.

Active since August 23, 2017PECOS EnrolledAccepts Medicare Assignment

818 E BROADWAY ST, SPARTA, IL 62286(618) 443-2177(618) 443-1380 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Feb 26, 2021, Aug 23, 2017 (3 updates tracked since 2017).

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About Carrie Ann Lutman Fnp-bc NPPES

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

CARRIE ANN LUTMAN FNP-BC (NPI 1073030789) is an individual family provider in Sparta, Illinois, licensed in Illinois (041344824) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Hamilton Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073030789

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARRIE ANN LUTMANCredential: FNP-BC

Location Address818 E BROADWAY STSparta, IL 62286-1820

Mailing Address4800 Riley Lake RdEllis Grove, IL 62241-1424 · (618) 304-9024

Phone(618) 443-2177

Fax(618) 443-1380

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 23, 2017

Last NPPES UpdateMay 29, 20263 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1073030789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 041344824

818 E BROADWAY ST, Sparta, IL 62286

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12250 N Illinois AveCarbondale, IL 62901-5612 · Phone (618) 833-1691

Location 2207 S Burns AveSparta, IL 62286-1857 · Phone (618) 443-3084 · Fax (618) 443-1348

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

Carrie Ann Lutman Fnp-bc 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 ID2769749407

PECOS Enrollment IDI20171205001111

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141326

Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County

Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141331

Location900 North Washington StreetDu Quoin, IL 62832 · Perry County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62286 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers39 claims43 services$19.81 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers44 claims45 services$116.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

OLIVIA NELL STRICKLEY RD

Dietitian, Registered