Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian J Luteyn

Individual provider Physician Assistant · NPI 1134996549

Brian J Luteyn is a Physician Assistant in Hartford, Wisconsin. Qualified in 2023, 3 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

1640 E Sumner St
Hartford, WI 53027-2684
Phone: (262) 670-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Meadow Ln, Fond Du Lac, WI 54935-6310 — (920) 238-7847

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7793 (WI)

Record details

NPI number1134996549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 6, 2023
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Hartford