MIRANDA K LUTTERMAN PMHNP-BC
NPI 1083391700
Nurse Practitioner - Psychiatric/Mental Health in Coon Rapids, MN

Q: What is Miranda Lutterman's NPI number?

The NPI number for Miranda Lutterman is 1083391700. It was assigned to this individual provider in the NPPES registry on July 4, 2023.

Q: What is Miranda Lutterman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Lutterman was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 04, 2023PECOS EnrolledAccepts Medicare Assignment

11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433(763) 767-3350 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Jul 4, 2023 (2 updates tracked since 2023).

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About Miranda K Lutterman Pmhnp-bc NPPES

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

MIRANDA K LUTTERMAN PMHNP-BC (NPI 1083391700) is an individual psychiatric/mental health provider in Coon Rapids, Minnesota, licensed in Minnesota (10413) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083391700

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMIRANDA K LUTTERMANCredential: PMHNP-BC

Location Address11660 ROUND LAKE BLVD NWCoon Rapids, MN 55433-2638

Mailing Address11660 Round Lake Blvd NwCoon Rapids, MN 55433-2638 · (763) 767-3350

Phone(763) 767-3350

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 4, 2023

Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1083391700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 10413

11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

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

Miranda K Lutterman Pmhnp-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 ID4688036114

PECOS Enrollment IDI20230816001328

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

81 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

RUTH EILTS

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