Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Kirby Lutz, PA-C

Individual provider Medical Physician Assistant · NPI 1275043705

Shannon Kirby Lutz, PA-C is a Physician Assistant in Sewell, New Jersey. Qualified in 2017, 9 years ago. Practices with Advocare, LLC, a 385-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
9
Licensed in
NJ, PA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

150 Delsea Dr Ste B
Sewell, NJ 08080-9478
Phone: (856) 302-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2360 Maryland Rd, Willow Grove, PA 19090 — (215) 657-6776

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00463000 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA059371 (PA)

Record details

NPI number1275043705
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2017
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advocare, Llc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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