Individual provider Active NPI

Madison Luebke, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Xenia, OH
National Provider Identifier
1629839030
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035709 Issued in OH
Practice address
2066 W Main St Ste 150
Xenia, OH 45385-2882
Phone
(937) 376-9731
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 APRN.CNP.0035709 OH Primary

Addresses

Primary practice location

2066 W Main St Ste 150
Xenia, OH 45385-2882

Mailing address

3524 Ascot CT
Kettering, OH 45429-4401
Phone (567) 712-9935

Other practice location 1

100 Kahoe Ln
Yellow Springs, OH 45387-1243
Phone (937) 767-7311

Other names 1

  • Madison Butts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240326003206 OH Practitioner - Nurse Practitioner 3971940958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2350 Miami Valley Dr
Suite 430
Centerville, OH 45459-4778
Phone (937) 435-1445

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035709OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Mar 29, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 29, 2024 Accepting new patients
Premier Heart Associates, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

1 Wyoming St
Ste 3100B
Dayton, OH 45409
Phone (937) 208-4110

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

2350 Miami Valley Dr
Ste 430
Dayton, OH 45459
Phone (937) 228-5115

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

2066 W Main St
Ste 150
Xenia, OH 45385
Phone (937) 376-9731

100 Kahoe Ln
Yellow Springs, OH 45387
Phone (937) 767-7311

Organizations & group practices 3

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1629839030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 ASCOT CT",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294401",
            "telephone_number": "567-712-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 W MAIN ST STE 150",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852882",
            "telephone_number": "937-376-9731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kahoe Ln",
            "address_purpose": "LOCATION",
            "city": "Yellow Springs",
            "state": "OH",
            "postal_code": "453871243",
            "country_code": "US",
            "telephone_number": "937-767-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEBKE",
        "first_name": "MADISON",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-03-04",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "BUTTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.