JONATHAN SCOTT LUTGENS JR.
NPI 1508513938
Military Health Care Provider in Tacoma, WA

Q: What is Jonathan Lutgens's NPI number?

The NPI number for Jonathan Lutgens is 1508513938. It was assigned to this individual provider in the NPPES registry on March 5, 2022.

Q: What is Jonathan Lutgens's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Lutgens was last updated on August 8, 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.

Active since March 05, 2022PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3105 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Mar 5, 2022 (2 updates tracked since 2022).

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About Jonathan Scott Lutgens Jr. NPPES

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

JONATHAN SCOTT LUTGENS JR. (NPI 1508513938) is an individual military health care provider provider in Tacoma, Washington and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508513938

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameJONATHAN SCOTT LUTGENS JR.

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-3105

Phone(253) 968-3105

Sole ProprietorNo

Enumeration DateMarch 5, 2022

Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1508513938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Scott Lutgens Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered