Individual provider Active NPI

Chelsea Luebke, FNP

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1427452945
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126654 Issued in TX
Practice address
5615 Deauville Blvd
Suite 220
Midland, TX 79706
Phone
(423) 686-0321
Fax
(432) 686-0664
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP126654 TX Primary

Addresses

Primary practice location

5615 Deauville Blvd
Suite 220
Midland, TX 79706

Mailing address

5615 Deauville Blvd
Suite 220
Midland, TX 79706
Phone (432) 686-0321

Other identifiers 1

IdentifierTypeStateIssuer
3439655-03MedicaidTX

Other names 1

  • Chelsea Partion Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelsea.Luebke.2@9925.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141219001428 TX Practitioner - Nurse Practitioner 3678896818 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Oct 16, 2014 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Oct 16, 2014 Accepting new patients
Big Bend Medical Group CurrentSince Nov 17, 2015 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Midland Texas Orthopedic Group Inc CurrentSince Nov 27, 2017 Accepting new patients
Big Bend Medical Group CurrentSince Nov 17, 2015 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Nov 27, 2017 Accepting new patients
West Texas Orthopedics LLP Past Accepting new patients

Locations

2301 S Gregg St
Big Spring, TX 79720
Phone (432) 267-5531

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

5615 Deauville
Ste 220
Midland, TX 79706
Phone (432) 221-4004

10 Desta Dr
Ste 100E
Midland, TX 79705
Phone (432) 686-0321

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

Interoperability endpoints

  • Direct secure messaging: chelsea.luebke.2@9925.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427452945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE BLVD",
            "address_2": "SUITE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "432-686-0321",
            "fax_number": "432-686-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE BLVD",
            "address_2": "SUITE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "423-686-0321",
            "fax_number": "432-686-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBKE",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3439655-03",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsea.Luebke.2@9925.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5615 Deauville Blvd",
            "address_2": "Suite 220",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "PARTION",
            "credential": "CHELSEA SANDRIDGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.