MRS. JEANNETTE V LUTHER (PA-C) – Physician Assistant, NPI 1316920648

MRS. JEANNETTE V LUTHER (PA-C) is a healthcare provider. based in Longview, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10003342 (WA). The NPI Number for MRS. JEANNETTE V LUTHER (PA-C) is 1316920648

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JEANNETTE V LUTHER (PA-C)
NPI
1316920648
Phone
(360) 747-5800
Address
1718 E KESSLER BLVD
Enumeration Date
21 November 2005
Last Update Date
16 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604142800
Graduation Year
1995 (31 years ago)
PAC ID
3971682055
Group Practice PAC ID
5890689293
Professional Enrollment ID
I20080430000397
Address ID
WA986322310LO1660XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for MRS. JEANNETTE V LUTHER (PA-C)

  • 1718, Kessler Boulevard, Longview, Cowlitz County, Washington, 98632, United States

    LONGVIEW, WA 98632

    Phone: (360) 747-5800

    Type: Mailing

  • 8507, South 5th Street, Pioneer, Ridgefield, Clark County, Washington, 98642, United States

    SUITE 113

    RIDGEFIELD, WA 986423421

    Phone: (360) 887-9494

    Fax: (360) 887-9498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080430000397IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes194185$0
99213Established patient office or other outpatient visit, 20-29 minutes173163$0
99215Established patient office or other outpatient visit, 40-54 minutes6563$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890689293View full group profile

Reviews

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Frequently asked questions

How is MRS. JEANNETTE V LUTHER (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. JEANNETTE V LUTHER (PA-C) with NPI 1316920648.
Can I rely on MRS. JEANNETTE V LUTHER (PA-C) being an active provider?
As of the registry snapshot, MRS. JEANNETTE V LUTHER (PA-C) is marked active.
What is MRS. JEANNETTE V LUTHER (PA-C) best known for clinically?
Directory data describes MRS. JEANNETTE V LUTHER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. JEANNETTE V LUTHER (PA-C)?
MRS. JEANNETTE V LUTHER (PA-C)'s geographic hint is Longview, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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