Individual provider Active NPI

Preston Luke, FNP

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1518436252
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140030 Issued in TX
Practice address
710 E 6TH St
Odessa, TX 79761-4655
Phone
(254) 245-9175
Fax
(254) 213-7771
NPI assigned
Nov 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 801295 TX
Family Nurse Practitioner 363LF0000X AP140030 TX Primary

Addresses

Primary practice location

710 E 6TH St
Odessa, TX 79761-4655

Mailing address

PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9177

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
I20190110002510 TX Practitioner - Nurse Practitioner 5597001610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Associates PLLCGroup PAC ID 6204973894, 33 clinicians
Slater-Delk Medical, PLLCGroup PAC ID 3476875790, 33 clinicians

Practice addresses (Care Compare)

3800 S W S Young Dr
Suite 201
Killeen, TX 76542-3340
Phone (254) 245-9175

407 Kent St
Midland, TX 79701-5858
Phone (432) 687-2273

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Merit-based Incentive Payment System (MIPS)

Final score
74.91 of 100Reported as group
Quality
70.09
Promoting interoperability
95
Improvement activities
40
Cost
50.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
801295TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Slater-Delk Medical, PLLC CurrentSince Oct 20, 2025 Accepting new patients
Integrated Pain Associates PLLC CurrentSince Nov 26, 2018 Accepting new patients
Integrated Pain Associates PLLC CurrentSince Nov 26, 2018 Accepting new patients
MCH Professional Care PastSince Oct 20, 2025 Accepting new patients

Locations

4351 Ridgemont Dr
Ste A
Abilene, TX 79606
Phone (325) 698-4545

1888 Antilley Rd
Abilene, TX 79606
Phone (325) 795-0225

3800 S W S Young Dr
Ste 201
Killeen, TX 76542
Phone (254) 213-0489

407 Kent St
Midland, TX 79701
Phone (432) 687-2273

4400 N Midland Dr
Ste 406A
Midland, TX 79707
Phone (432) 704-5661

710 E 6th St
Odessa, TX 79761
Phone (432) 334-8088

Interoperability endpoints

  • Direct secure messaging: preston.luke@ipap-tx.direct.office.nextgen.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1518436252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11538",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471538",
            "telephone_number": "254-245-9177",
            "fax_number": "254-245-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614655",
            "telephone_number": "254-245-9175",
            "fax_number": "254-213-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "PRESTON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-23",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "801295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.