Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265166797 Individual Practitioner Female Practitioner

Justice Nicole Luttrell , PA

Physician Assistant • Lakeview, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Justice Luttrell, PA is a certified Physician Assistant practicing in Lakeview, MI. With approximately 4 years of clinical experience since completing medical education in 2022, Justice Luttrell delivers high-quality medical care to the local community at 8650 HOWARD CITY EDMORE RD.

Justice Luttrell is affiliated with Spectrum Health United and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

8650 Howard City Edmore Rd

Lakeview, MI 488507102

Telephone 9893526474
Associated Practice Facility / Clinic
🏢 Spectrum Health United Facility NPI 1790104206

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lakeview, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Lakeview, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Luttrell (4 Years) 4 Yrs
Lakeview Specialty Average (11.4 Years) 11.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-06-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601011239

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.

Hospital & Practice Group Affiliations

Spectrum Health United

615 S Bower St, Greenville, MI 488382614

Spectrum Health United

8650 Howard City Edmore Rd, Lakeview, MI 488509115

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Brooke Hansen , PA-C

Physician Assistant

NPI 1033591805

Physician Assistant (Certified)

Dr. Zachary Wagar , MD

Family Medicine

NPI 1033771191

Doctor of Medicine (M.D.)

Melvin Vallette , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1083160246

NURSEPRACTITIONER

Christina Snyder , NP-C

Nurse Practitioner - Family

NPI 1144720939

Nurse Practitioner (Certified)

Sada Brown , NP

Nurse Practitioner - Family

NPI 1154870483

Nurse Practitioner

NPI 1215169511

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 26, 2023

Registered at 8650 HOWARD CITY EDMORE RD, LAKEVIEW, MI 488507102 (Tel: 9893526474)

📍
Updated Practice Location October 10, 2022

Registered at 418 WASHINGTON ST, LAKEVIEW, MI 488507102 (Tel: 9893526474)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2022

Physician Assistant (License #5601011239 in MI)

NPI Profile Active July 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2022

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

📍
Updated Business Mailing Address July 11, 2022

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

👤
Provider Name / Credentials Updated July 11, 2022

Recorded as JUSTICE LUTTRELL, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265166797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2022
Last Update: June 26, 2023
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

Phone: 6164866790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.