Joseph E Lutes III, FNP
Nurse Practitioner, Family in Neosho, MO. Individual provider (NPI-1).
NPI number1346512696
StatusActive
Last updated in NPPESFeb 2, 2012
Details
- NPI
- 1346512696
- Entity type
- Individual (NPI-1)
- Name
- Joseph E Lutes III
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2012
- Last updated
- Feb 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2012002538 | MO | Yes |
Practice location
4301 Doniphan DrNeosho, MO 64850-9120
Phone 417-451-9450
Mailing address
4301 Doniphan DrNeosho, MO 64850-9120
Phone 417-451-9450
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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