MICHELLE LUTZ
NPI 1811847676
Nurse Practitioner - Women's Health in Maple Grove, MN

Q: What is Michelle Lutz's NPI number?

The NPI number for Michelle Lutz is 1811847676. It was assigned to this individual provider in the NPPES registry on January 31, 2026.

Q: What is Michelle Lutz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Lutz was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 31, 2026PECOS Enrolled

9825 HOSPITAL DR STE 205, MAPLE GROVE, MN 55369(763) 587-7000(763) 587-7015 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Michelle Lutz NPPES

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

MICHELLE LUTZ (NPI 1811847676) is an individual women's health provider in Maple Grove, Minnesota, licensed in Minnesota (13870) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plymouth, and is a graduate of University Of Cincinnati College Of Medicine (2025).

NPPES Registry Identity

NPI1811847676

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMICHELLE LUTZ

Location Address9825 HOSPITAL DR STE 205Maple Grove, MN 55369-4480

Mailing Address18935 Natchez AvePrior Lake, MN 55372-9117 · (612) 968-0911

Phone(763) 587-7000

Fax(763) 587-7015

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2025

Enumeration DateJanuary 31, 2026

NPPES CertifiedJanuary 31, 2026

✔ NPI 1811847676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MN · 13870

9825 HOSPITAL DR STE 205, Maple Grove, MN 55369

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Secondary Practice Location 1

Location 13007 Harbor Ln N Ste 1400Plymouth, MN 55447-5138 · Phone (763) 587-7000 · Fax (763) 587-7015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Lutz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517448459

PECOS Enrollment IDI20260227002405

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 17

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

MEGAN G BINA DO

Obstetrics & Gynecology