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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Dina Lutjen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
4811 S ARROWHEAD DR
Independence, MO 64055
  • Reassigned Medicare billing, Missouri enrollment
  • 702 clinicians in this Medicare group
Anesthesiology
8717 W 110TH ST, SUITE 600
Overland Park, KS 66210
  • Reassigned Medicare billing, Missouri enrollment
  • 281 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.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dina Lutjen's NPI number?

The NPI number for Dina Lutjen is 1164719969. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Dina Lutjen located?

Dina Lutjen practices at 1209 NW North Ridge Dr Suite B, Blue Springs, MO 64015. The listed phone number is (816) 988-8415.

What is Dina Lutjen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dina Lutjen enrolled in Medicare?

Yes. Dina Lutjen 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 organizations bill Medicare for Dina Lutjen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dina Lutjen reassigns Medicare benefits to 2 organizations: Meritas Health Corporation (Independence, MO) and Anesthesia Associates Of Kansas City PA (Overland Park, KS). Each 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 Dina Lutjen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dina Lutjen accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Dina Lutjen 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.

Is Dina Lutjen affiliated with any hospitals?

According to CMS data, Dina Lutjen is affiliated with Centerpoint Medical Center and North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Dina Lutjen was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.