DINA LYNN LUTJEN CRNA
NPI 1164719969
Nurse Anesthetist, Certified Registered in Blue Springs, MO

Active since June 30, 2011Accepts Medicare Assignment
1209 NW NORTH RIDGE DR, SUITE B, BLUE SPRINGS, MO 64015(816) 988-8415(816) 988-8395 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dina Lynn Lutjen Crna NPPES

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

DINA LYNN LUTJEN CRNA (NPI 1164719969) is an individual nurse anesthetist, certified registered in Blue Springs, Missouri, licensed in Missouri (2011023085) and active in the NPI registry since June 2011. She is affiliated with Centerpoint Medical Center, maintains a secondary practice location in North Kansas City, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164719969
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDINA LYNN LUTJENCredential: CRNA
Location Address1209 NW NORTH RIDGE DR, SUITE BBlue Springs, MO 64015-6321
Mailing Address106 Ne Lamplighter LnBlue Springs, MO 64014-1340 · (816) 582-9304
Fax(816) 988-8395
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
NPI 1164719969 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 MO · 2011023085
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.

1209 NW NORTH RIDGE DR, Blue Springs, MO 64015

Secondary Practice Location 1

Location 12700 Clay Edwards Dr Ste 240North Kansas City, MO 64116-3254 · Phone (816) 691-2021 · Fax (816) 346-7690

Other Identifiers 1

Medicaid1164719969MO

Accepted 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

Dina Lynn Lutjen Crna 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 ID648440156
PECOS Enrollment IDI20110818000713

Hospital Affiliations CMS Care Compare 2

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

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64015 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164719969, enumerated as an "individual" on June 30, 2011.

The provider is located at 1209 NW NORTH RIDGE DR SUITE B BLUE SPRINGS, MO 64015 and the phone number is (816) 988-8415.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Oscar. Please consult your insurance carrier or call the provider to verify.

Dina Lutjen is affiliated with: CENTERPOINT MEDICAL CENTER and NORTH KANSAS CITY HOSPITAL.