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MRS. SHELBY HEADLEY LUETHKE PA
NPI 1497487771
Physician Assistant in Knoxville, TN

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
1311 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909(865) 588-5121(865) 588-2126 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Feb 14, 2023 (2 updates tracked since 2023).

About Mrs. Shelby Headley Luethke Pa NPPES

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

MRS. SHELBY HEADLEY LUETHKE PA (NPI 1497487771) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (5309) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497487771
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SHELBY HEADLEY LUETHKECredential: PA
Location Address1311 DOWELL SPRINGS BLVDKnoxville, TN 37909-2454
Mailing Address1311 Dowell Springs BlvdKnoxville, TN 37909-2454 · (865) 588-5121 · Fax (865) 588-2126
Phone(865) 588-5121
Fax(865) 588-2126
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2022
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1497487771 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 TN · 5309
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.
1311 DOWELL SPRINGS BLVD, Knoxville, TN 37909
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Other Identifiers 1

MedicaidQ080895TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Mrs. Shelby Headley Luethke 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 ID7517331473
PECOS Enrollment IDI20230316001973
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 2

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.
212 services137 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 20

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

ANDREA KATHRYN KOTTMEIER
Nurse Anesthetist, Certified Registered
1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Knox County (865) 588-5121
JENNIFER CHANCEY UNGER PA-C
Physician Assistant
1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Knox County (865) 588-5121
TEJAL MISTRY MD
Internal Medicine (Gastroenterology)
1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Knox County (865) 588-5121
BARRY VICTOR MAVES MD
Internal Medicine (Gastroenterology)
1311 DOWELL SPRINGS BLVD, SUITE 300
KNOXVILLE, TN 37909
Knox County (865) 588-5121
JOSEPH MICHAEL FREEMAN CRNA
Nurse Anesthetist, Certified Registered
1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Knox County (865) 588-5121
SHELBY BASS PA-C
Physician Assistant
1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Knox County (865) 588-5121
JOHN MATTHEW MOORE M.D.
Internal Medicine (Gastroenterology)
1311 DOWELL SPRINGS BLVD, SUITE 300
KNOXVILLE, TN 37909
Knox County (865) 588-5121
ANEITHA PRATT DNP
Nurse Practitioner (Family)
1311 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Knox County (865) 588-5121

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 Shelby Luethke's NPI number?

The NPI number for Shelby Luethke is 1497487771. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Shelby Luethke located?

Shelby Luethke practices at 1311 Dowell Springs Blvd, Knoxville, TN 37909. The listed phone number is (865) 588-5121.

What is Shelby Luethke's specialty?

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

Is Shelby Luethke enrolled in Medicare?

Yes. Shelby Luethke 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 Shelby Luethke accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Shelby Luethke 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 Shelby Luethke affiliated with any hospitals?

According to CMS data, Shelby Luethke is affiliated with Blount Memorial Hospital and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Luethke was last updated on December 3, 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.