JUSTICE NICOLE LUTTRELL PA
NPI 1265166797
Physician Assistant in Lakeview, MI

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
8650 HOWARD CITY EDMORE RD, LAKEVIEW, MI 48850(989) 352-6474 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2022, Aug 29, 2022, Jul 11, 2022 (3 updates tracked since 2022).

About Justice Nicole Luttrell Pa NPPES

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

JUSTICE NICOLE LUTTRELL PA (NPI 1265166797) is an individual physician assistant in Lakeview, Michigan, licensed in Michigan (5601011239) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265166797
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJUSTICE NICOLE LUTTRELLCredential: PA
Location Address8650 HOWARD CITY EDMORE RDLakeview, MI 48850-7102
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2022
Last NPPES UpdateJune 26, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
NPI 1265166797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601011239
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8650 HOWARD CITY EDMORE RD, Lakeview, MI 48850

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

Justice Nicole Luttrell Pa 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 ID7517342405
PECOS Enrollment IDI20220913002045
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.

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48850 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 9

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

Family Medicine
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850
Nurse Practitioner (Family)
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850
Nurse Practitioner (Family)
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850
Nurse Practitioner (Family)
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850
Social Worker (Clinical)
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850
Nurse Practitioner (Family)
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850
Physician Assistant
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850
Social Worker (Clinical)
8650 HOWARD CITY EDMORE RD
LAKEVIEW, MI 48850

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 Justice Luttrell's NPI number?

The NPI number for Justice Luttrell is 1265166797. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Justice Luttrell located?

Justice Luttrell practices at 8650 Howard City Edmore Rd, Lakeview, MI 48850. The listed phone number is (989) 352-6474.

What is Justice Luttrell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justice Luttrell enrolled in Medicare?

Yes. Justice Luttrell 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.

What insurance does Justice Luttrell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Justice Luttrell 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 Justice Luttrell affiliated with any hospitals?

According to CMS data, Justice Luttrell is affiliated with Spectrum Health United Hospital, Spectrum Health and Corewell Health Big Rapids Hospital.

When was this NPI record last updated?

The NPPES record for Justice Luttrell was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.