LISA LUTCHKA RD
NPI 1831453240
Dietitian, Registered in Ann Arbor, MI

Active since June 29, 2012Accepts Medicare Assignment
4350 JACKSON RD, SUITE 200, ANN ARBOR, MI 48103(734) 761-2581 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Lutchka Rd NPPES

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

LISA LUTCHKA RD (NPI 1831453240) is an individual dietitian, registered in Ann Arbor, Michigan and active in the NPI registry since June 2012. She is a graduate of Other (1992).

NPPES Registry Identity

NPI1831453240
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLISA LUTCHKACredential: RD
Location Address4350 JACKSON RD, SUITE 200Ann Arbor, MI 48103-1889
Mailing Address24 Frank Lloyd Wright Dr, Po Box 0446 Lobby JAnn Arbor, MI 48105-9484 · (734) 327-0872 · Fax (734) 747-8605
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 29, 2012
Last NPPES UpdateApril 19, 2017
✔ NPI 1831453240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4350 JACKSON RD, Ann Arbor, MI 48103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Lutchka Rd 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 ID3971752650
PECOS Enrollment IDI20121012000824

Medicare Billing Reassignment

Medicare enrollment records show Lisa Lutchka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
4350 JACKSON RD, SUITE 200
Ann Arbor, MI 48103
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
64 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48103 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
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

Obstetrics & Gynecology
4350 JACKSON RD, SUITE 300
ANN ARBOR, MI 48103
Nurse Practitioner
4350 JACKSON RD, SUITE 100
ANN ARBOR, MI 48103
Nurse Practitioner (Pediatrics)
4350 JACKSON RD, SUITE 100
ANN ARBOR, MI 48103
Family Medicine
4350 JACKSON RD, SUITE 200
ANN ARBOR, MI 48103
Family Medicine
4350 JACKSON RD, SUITE 200
ANN ARBOR, MI 48103
Pediatrics
4350 JACKSON RD, SUITE 100
ANN ARBOR, MI 48103
Pediatrics
4350 JACKSON RD, SUITE 100
ANN ARBOR, MI 48103
Family Medicine
4350 JACKSON RD, SUITE 200
ANN ARBOR, MI 48103

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 Lisa Lutchka's NPI number?

The NPI number for Lisa Lutchka is 1831453240. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Lisa Lutchka located?

Lisa Lutchka practices at 4350 Jackson Rd Suite 200, Ann Arbor, MI 48103. The listed phone number is (734) 761-2581.

What is Lisa Lutchka's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lisa Lutchka enrolled in Medicare?

Yes. Lisa Lutchka 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.

Which organization bills Medicare for Lisa Lutchka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lutchka reassigns Medicare benefits to Iha Health Services Corporation (Ann Arbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Lutchka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Lutchka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Lisa Lutchka 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.

When was this NPI record last updated?

The NPPES record for Lisa Lutchka was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.