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

Mrs. Ann Elizabeth Lutken, CFNP

Individual provider Nurse Practitioner · NPI 1811213853

Mrs. Ann Elizabeth Lutken, CFNP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2010, 16 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
16
Licensed in
MS
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609
Phone: (601) 200-5955
Fax: (601) 200-5943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 North State Street, Jackson, MS 39216-4500 — (601) 984-5571

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 875444 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 875444 (MS)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence R875444 (MS)

Record details

NPI number1811213853
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedApril 15, 2010
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson