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PENELOPE ELIZABETH LUTZ APRN, A-GNP-C
NPI 1679228431
Nurse Practitioner - Adult Health in Salem, OR

Active since February 19, 2022PECOS EnrolledAccepts Medicare Assignment
610 HAWTHORNE AVE SE STE 250, SALEM, OR 97301(503) 559-3312 Get Directions Write a Review

NPPES record last updated: February 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penelope Elizabeth Lutz Aprn, A-gnp-c NPPES

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

PENELOPE ELIZABETH LUTZ APRN, A-GNP-C (NPI 1679228431) is an individual adult health provider in Salem, Oregon, licensed in Oregon (202201833NP-PP) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679228431
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePENELOPE ELIZABETH LUTZCredential: APRN, A-GNP-C
Location Address610 HAWTHORNE AVE SE STE 250Salem, OR 97301-5436
Mailing Address2155 Dalke Ridge Dr NwSalem, OR 97304-4830 · (503) 383-8793
Phone(503) 559-3312
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 19, 2022
NPPES CertifiedFebruary 19, 2022
✔ NPI 1679228431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OR · 202201833NP-PP
610 HAWTHORNE AVE SE STE 250, Salem, OR 97301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Penelope Elizabeth Lutz Aprn, A-gnp-c 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 ID8123414000
PECOS Enrollment IDI20220331002561
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.

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Willamette Valley Medical Center

Acute Care Hospitals · Mcminnville, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380071
Location2700 SE Stratus Ave.Mcminnville, OR 97128 · Yamhill County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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 Penelope Lutz's NPI number?

The NPI number for Penelope Lutz is 1679228431. It was assigned to this individual provider in the NPPES registry on February 19, 2022.

Where is Penelope Lutz located?

Penelope Lutz practices at 610 Hawthorne Ave SE Ste 250, Salem, OR 97301. The listed phone number is (503) 559-3312.

What is Penelope Lutz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Penelope Lutz enrolled in Medicare?

Yes. Penelope Lutz 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 Penelope Lutz accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Penelope Lutz 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 Penelope Lutz affiliated with any hospitals?

According to CMS data, Penelope Lutz is affiliated with Salem Hospital, Willamette Valley Medical Center and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Penelope Lutz was last updated on February 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.