Simon Lueth, PAC
NPI 1215357108 · Physician Assistant · Oak Park Heights, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Simon Lueth, PAC is a Physician Assistant provider in Oak Park Heights, MN (NPI 1215357108).
Provider details
- NPI number
- 1215357108
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 11596 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 640 Jackson StSaint Paul, MN 55101-2502Phone: (651) 495-6600Fax: (651) 254-3123
Registry dates
- Enumerated
- 2014-04-18
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Frequently asked questions
- What is Simon Lueth's NPI number?
- Simon Lueth's National Provider Identifier (NPI) is 1215357108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simon Lueth's specialty?
- Simon Lueth is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Simon Lueth located?
- Simon Lueth's practice location on file with NPPES is 5803 Neal Ave N, Oak Park Heights, MN 55082-2177.
- What is Simon Lueth's phone number?
- The practice phone number listed in the NPPES registry for Simon Lueth is (651) 439-8807.
- Does Simon Lueth accept Medicare?
- Simon Lueth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Simon Lueth's NPI active?
- Yes — Simon Lueth's NPI (1215357108) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.