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BLAKE ALAN LUEBBEHUSEN MSN, RN, NP-C
NPI 1154925907
Nurse Practitioner - Family in Elkhart, IN

Active since November 23, 2020PECOS EnrolledAccepts Medicare Assignment
500 ARCADE AVE STE 210, ELKHART, IN 46514(574) 389-5656 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2021, Feb 15, 2021, Nov 23, 2020 (3 updates tracked since 2020).

About Blake Alan Luebbehusen Msn, Rn, Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE ALAN LUEBBEHUSEN MSN, RN, NP-C (NPI 1154925907) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71010668A) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154925907
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBLAKE ALAN LUEBBEHUSENCredential: MSN, RN, NP-C
Location Address500 ARCADE AVE STE 210Elkhart, IN 46514-2485
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610
Phone(574) 389-5656
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 23, 2020
Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1154925907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71010668A
500 ARCADE AVE STE 210, Elkhart, IN 46514
Open in Google Maps ↗

Other Identifiers 2

Medicaid300045960IN
Other236040357IN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Alan Luebbehusen Msn, Rn, Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113330259
PECOS Enrollment IDI20210108000781
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$94.94 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers14 claims14 services$24.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUHAMMAD A SAEED M.D
Internal Medicine (Critical Care Medicine)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656
DR. O'DENE HANNIFFE LEWIS M.B.,B.S
Internal Medicine (Pulmonary Disease)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656
MRS. TAMMY GENE SLOTT FNP-BC
Nurse Practitioner (Family)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656
NICHOLAS MILLER
Surgery
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656
KAMRAN JAVAID M.D.
Internal Medicine (Pulmonary Disease)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656
DR. ASMA IFTIKHAR M.D.
Internal Medicine (Critical Care Medicine)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656
DR. MEREDITH KATHERINE WIERMAN SCHMIDT DO
Internal Medicine (Infectious Disease)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656
DR. EDWIN LARYEA ANNAN MD
Internal Medicine (Critical Care Medicine)
500 ARCADE AVE STE 210
ELKHART, IN 46514
Elkhart County (574) 389-5656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Luebbehusen's NPI number?

The NPI number for Blake Luebbehusen is 1154925907. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Blake Luebbehusen located?

Blake Luebbehusen practices at 500 Arcade Ave Ste 210, Elkhart, IN 46514. The listed phone number is (574) 389-5656.

What is Blake Luebbehusen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blake Luebbehusen enrolled in Medicare?

Yes. Blake Luebbehusen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Blake Luebbehusen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Blake Luebbehusen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Luebbehusen was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.