Kelly J Lueck, FNP-C - Medicare Nurse Practitioner in Gilbert, AZ

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Kelly J Lueck, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gilbert, Arizona. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Onepeak Southern Oregon Pc, Advanced Care Life Centers, Owensboro Health Medical Group Inc and her current practice location is 2946 E Banner Gateway Dr, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 256-6444.

Kelly J Lueck is licensed to practice in Oregon (license number 201610216NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578815809.

Contact Information

Kelly J Lueck, FNP-C
2946 E Banner Gateway Dr,
Gilbert, AZ 85234-2165
(480) 256-6444
(480) 256-3682

Map and Direction




Provider's Profile

Full NameKelly J Lueck
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location2946 E Banner Gateway Dr, Gilbert, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly J Lueck graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1578815809
  • Provider Enumeration Date: 10/10/2012
  • Last Update Date: 07/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779728043
  • Enrollment ID: I20170810002684

Medical Identifiers

Medical identifiers for Kelly J Lueck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578815809NPI-NPPES
500729417MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201610216NP-PP (Oregon)Primary
208D00000XGeneral Practice TAP4690 (Arizona)Secondary
363LF0000XNurse Practitioner - Family 4042935 (Kentucky)Secondary
363LP2300XNurse Practitioner - Primary Care TAP4690 (Arizona)Secondary
207Q00000XFamily Medicine TAP4690 (Arizona)Secondary
208D00000XGeneral Practice 201610216NP-PP (Oregon)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Asante Rogue Regional Medical CenterMedford, ORHospital
Owensboro Health Regional HospitalOwensboro, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Onepeak Southern Oregon Pc539512967023
Advanced Care Life Centers57992257022
Owensboro Health Medical Group Inc0648255034435

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly J Lueck allows following entities to bill medicare on her behalf.
Entity NameColumbia Lutheran Charities
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1134146939
PECOS PAC ID: 5294643359
Enrollment ID: O20021217000028
Entity NameSky Lakes Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659340370
PECOS PAC ID: 1052204096
Enrollment ID: O20040204000577
Entity NameSalem Health West Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245237486
PECOS PAC ID: 7810804630
Enrollment ID: O20040225000830
Entity NameSouthern Coos Health District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588684484
PECOS PAC ID: 1951219310
Enrollment ID: O20040526000542
Entity NameNisha Jackson Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124499124
PECOS PAC ID: 6305147745
Enrollment ID: O20151209000878
Entity NameOnepeak Southern Oregon Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740917558
PECOS PAC ID: 5395129670
Enrollment ID: O20220906001662

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly J Lueck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly J Lueck, FNP-C
Po Box 6095,
Bend, OR 97708-6095

Ph: (541) 706-5922		Kelly J Lueck, FNP-C
2946 E Banner Gateway Dr,
Gilbert, AZ 85234-2165

Ph: (480) 256-6444

Reviews and Comments


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Perla Quinones, PMHNP-BC
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Mackay Derald Ferrin,
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Jenny Littrell, ACNP
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Phone: 480-890-7705    Fax: 480-398-8095
Ms. Kasey Alyse Huey, FNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.