NPPES file of Aug 9, 2026

Jacob Thomas Lutz, PHD

Clinical Neuropsychologist · Fort Wayne, IN

Jacob Thomas Lutz, PHD is a clinical neuropsychologist with a practice address in Fort Wayne, Indiana, and NPI 1164860052, issued on Jun 13, 2013. Check the license (Indiana 20042679A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164860052
Name
Jacob Thomas Lutz
Credential
PHD
Primary taxonomy
Clinical Neuropsychologist 103G00000X
License number
20042679A IN
Self-reported in NPPES; status is on the state search
Practice location
11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845
Phone
(260) 460-3203
Enumerated
Jun 13, 2013
Record last updated
Jun 13, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(260) 460-3271
Medicare enrollment
Enrolled (PECOS I20130910000253); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical neuropsychologist records → All 65 in Indiana → Look up another NPI →

Also registered at 11104 Parkview Circle Dr Ste 110

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tyler Atkins, M.D.Neurological Surgery Physician1114331493
  2. Makayla Blain, NPNurse Practitioner1821606500
  3. Kevin Bui, MDNeurology Physician1144727546
  4. Danielle Castillo, FNP-CNurse Practitioner1750933560
  5. Gabrielle Conway, DONeurology Physician1659946390
  6. Richard ConwayFamily Medicine Physician1073193389

Verify Jacob Thomas Lutz in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 20042679A    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Fort Wayne Neuropsychology LLCFort Wayne, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jacob Thomas Lutz among 65 clinical neuropsychologist records in Indiana

Jacob Thomas Lutz, PHD is one of 65 clinical neuropsychologist records with a practice address in Indiana. 37% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 75% of them.

  • NPI issued2013 · 75% of these records are older, 17% newer
  • In a Medicare fileYes · 37% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated2012 · median 2008 among the 28 with a school on file
  • Record last updated2013 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103G00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Neuropsychologist providers in Indiana

There are 65 clinical neuropsychologist records in Indiana.

All 65 in Indiana → Every provider in Fort Wayne → Clinical Neuropsychologist nationwide →

The 8 clinical neuropsychologist records with the nearest ZIP codes

  1. Renee Buskirk, PHDFort Wayne, IN 468451619275807
  2. Frances Goff, PH.D.Fort Wayne, IN 468451780681254
  3. Erin Miles, PYSDFort Wayne, IN 468451699196519
  4. Gregory Sowles, HSPP LMHC PHDFort Wayne, IN 468251639182694
  5. Margarita Nogin, PH.D., HSPPFort Wayne, IN 468151366911000
  6. Christina Stemmler, PSYDFort Wayne, IN 468051669701793
  7. Nivonne Thompson, PHDFort Wayne, IN 468051841524105
  8. John Brinkman, PH.D.Fort Wayne, IN 468041134241227

Common questions

What is Jacob Thomas Lutz, PHD's NPI number?

Jacob Thomas Lutz, PHD's National Provider Identifier (NPI) is 1164860052, issued on Jun 13, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Jacob Thomas Lutz, PHD located?

The NPPES record lists a practice address at 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN, 46845. Phone: (260) 460-3203. Providers update this record themselves, so call before visiting.

How can I verify Jacob Thomas Lutz, PHD's license?

NPPES lists Indiana license number 20042679A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.