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BENJAMIN J LUITJENS PA-C
NPI 1942853569
Physician Assistant in Appleton, WI

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
2105 E ENTERPRISE AVE, APPLETON, WI 54913(920) 560-1000(920) 731-7133 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Jul 23, 2019 (2 updates tracked since 2019).

About Benjamin J Luitjens Pa-c NPPES

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

BENJAMIN J LUITJENS PA-C (NPI 1942853569) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (4803-23) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Oshkosh.

NPPES Registry Identity

NPI1942853569
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN J LUITJENSCredential: PA-C
Location Address2105 E ENTERPRISE AVEAppleton, WI 54913-7862
Mailing Address2105 E Enterprise Ave Ste 112Appleton, WI 54913-7862 · (920) 731-3111 · Fax (920) 731-7133
Phone(920) 560-1000
Fax(920) 731-7133
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2019
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1942853569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 4803-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2105 E ENTERPRISE AVE, Appleton, WI 54913
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Secondary Practice Location 1

Location 11498 W South Park AveOshkosh, WI 54902-6677 · Phone (920) 560-1000 · Fax (920) 731-7133

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

Benjamin J Luitjens Pa-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 ID6507196789
PECOS Enrollment IDI20191001003370
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services15 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C
Orthopaedic Surgery
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
LYNDSEY S MAVES PA-C
Physician Assistant
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
SHERYL A GAUTHIER PA-C
Physician Assistant
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
KENNETH L. SCHAUFELBERGER, M.D., S.C.
Specialist
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 731-3311
MRS. KIM MARIE WILLISON APNP
Nurse Practitioner (Adult Health)
2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913
Outagamie County (920) 731-6611
DR. TODD SCHUBKEGEL M.D.
Orthopaedic Surgery
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
BRADLEY JAMES BORGEN APNP
Nurse Practitioner
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 560-1000
MRS. HILLARY ANN BASHAW APNP FNP-BC
Nurse Practitioner
2105 E ENTERPRISE AVE
APPLETON, WI 54913
Outagamie County (920) 333-8878

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 Benjamin Luitjens's NPI number?

The NPI number for Benjamin Luitjens is 1942853569. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Benjamin Luitjens located?

Benjamin Luitjens practices at 2105 E Enterprise Ave, Appleton, WI 54913. The listed phone number is (920) 560-1000.

What is Benjamin Luitjens's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Luitjens enrolled in Medicare?

Yes. Benjamin Luitjens 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.

Is Benjamin Luitjens affiliated with any hospitals?

According to CMS data, Benjamin Luitjens is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Luitjens was last updated on March 14, 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.