MRS. ANN ELIZABETH LUTKEN CFNP
NPI 1811213853
Nurse Practitioner - Family in Jackson, MS

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
971 LAKELAND DR STE 1250, JACKSON, MS 39216(601) 200-5955(601) 200-5943 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Nov 14, 2024, Sep 29, 2021 and 3 more (6 updates tracked since 2016).

About Mrs. Ann Elizabeth Lutken Cfnp NPPES

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

MRS. ANN ELIZABETH LUTKEN CFNP (NPI 1811213853) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (875444) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1811213853
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANN ELIZABETH LUTKENCredential: CFNP
Location Address971 LAKELAND DR STE 1250Jackson, MS 39216-4609
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-2990 · Fax (225) 765-9196
Fax(601) 200-5943
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 15, 2010
Last NPPES UpdateOctober 29, 20256 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1811213853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 875444
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License R875444 (MS)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 875444 (MS)
971 LAKELAND DR STE 1250, Jackson, MS 39216

Other Names 1

Former Name (1)Ann Elizabeth Fowler

Secondary Practice Location 1

Location 12500 North State StreetJackson, MS 39216-4500 · Phone (601) 984-5571 · Fax (601) 984-5583

Other Identifiers 2

Medicaid09702355MS
OtherP01668935MS · Railroad Medicare

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

Mrs. Ann Elizabeth Lutken Cfnp 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 ID42478935
PECOS Enrollment IDI20120223000451
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 4

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.
95 services84 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.
66 services62 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.29
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Neurological Surgery
971 LAKELAND DR STE 1250
JACKSON, MS 39216
Nurse Practitioner (Acute Care)
971 LAKELAND DR STE 1250
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 1250
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 1250
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 1250
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 1250
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 1250
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR STE 1250
JACKSON, MS 39216

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 Ann Lutken's NPI number?

The NPI number for Ann Lutken is 1811213853. It was assigned to this individual provider in the NPPES registry on April 15, 2010. The provider is also known as Ann Elizabeth Fowler.

Where is Ann Lutken located?

Ann Lutken practices at 971 Lakeland Dr Ste 1250, Jackson, MS 39216. The listed phone number is (601) 200-5955.

What is Ann Lutken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ann Lutken enrolled in Medicare?

Yes. Ann Lutken 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 Ann Lutken accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Ann Lutken 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 Ann Lutken affiliated with any hospitals?

According to CMS data, Ann Lutken is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ann Lutken was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.