Abigail Nicole Luedke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14204 Issued in TX

Practice address

1651 W Rosedale St Ste 200
Fort Worth, TX 76104-7437

Phone

(817) 335-4316

NPI assigned

May 18, 2021

Last updated

May 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abigail.luedke.p1@direct.thc.nextgenshare.com

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

• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment Care Compare group
• Doctx3 PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1467808618
  Medicare reassignment NPD
• Doctx3 PLLC

  • Clinic/Center
  • Mansfield, TX
  • NPI 1437802097
  NPD
• Texas Health Care, P.L.L.C.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1073679437
  NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD

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

• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  dba Medical City Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation
• Fort Worth Surgicare Partners LTD

  dba Baylor Surgical Hospital at Fort Worth Outpatient Center

  • Special Hospital
  • Fort Worth, TX
  • NPI 1568883775
  Care Compare affiliation
• Fort Worth Surgicare Partners, LTD.

  dba Baylor Scott & White Surgical Hospital - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871599183
  Care Compare affiliation

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1518531011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 W ROSEDALE ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047437",
            "telephone_number": "817-335-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W ROSEDALE ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047437",
            "telephone_number": "817-335-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDKE",
        "first_name": "ABIGAIL",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luck Optical LLC (Luck Optical)
• Luck Optical LLC (Luck Optical)
• Sharon R Luck
• Michelle Luckey
• Marcia D Lucus, NNP
• Kathleen Ann Luedtke-Hoffmann, PT
• Gina Lenis Luera, LPC
• Trisha Brenda Luera
• Alicia McGaunn Luffey, CRNA
• John Paul Luft, M.DIV., BCC, CCHWI

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.