Doctor profile · Federal record
Dr. Jaclyn Lutzow
Adult Health Nurse Practitioner (CMS: Nurse Practitioner) · Philadelphia, PA
- NPI 1497469217
- Accepts Medicare
- 4 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3509 N Broad St
Philadelphia, PA 191404105
(215) 707-7200 - Mailing address
-
1836 Edmund RD
Abington, PA 190012012
Credentials & registration
- NPI registered
- January 2023 — 3 yrs on file
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LA2200X — NUCC code
- State license (1)
- Pennsylvania #SP026727
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497469217. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$169
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, Inc. | 1 | $129.38 | |
| UCB, Inc. | 1 | $21.55 | |
| Alexion Pharmaceuticals, Inc. | 1 | $18.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
82
Patients
34
Total drug cost
$714
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 34 | 20 | $317 |
| Diazepam | Generic | 25 | 14 | $77 |
| Gabapentin | Generic | 23 | 0 | $321 |
Hospital affiliations
Frequently asked questions
What is Dr. Jaclyn Lutzow's medical specialty?
Dr. Jaclyn Lutzow practices Adult Health Nurse Practitioner in Philadelphia, PA.
Where does Dr. Jaclyn Lutzow practice?
Dr. Jaclyn Lutzow practices at 3509 N Broad St, Philadelphia, PA 191404105. Office phone: 2157077200.
What is Dr. Jaclyn Lutzow's NPI?
Dr. Jaclyn Lutzow's National Provider Identifier (NPI) is 1497469217, issued by NPPES.
Does Dr. Jaclyn Lutzow accept Medicare assignment?
Yes. Dr. Jaclyn Lutzow accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.