STEPHANIE LUECKE
NPI 1639016603
Nurse Practitioner in Kingfisher, OK

Active since April 29, 2026PECOS EnrolledAccepts Medicare Assignment
102 STARLITE DR, KINGFISHER, OK 73750(572) 200-8805 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Luecke NPPES

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

STEPHANIE LUECKE (NPI 1639016603) is an individual nurse practitioner in Kingfisher, Oklahoma, licensed in Oklahoma (216553) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639016603
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE LUECKE
Location Address102 STARLITE DRKingfisher, OK 73750-4904
Mailing Address102 Starlite DrKingfisher, OK 73750-4904 · (572) 200-8805
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 29, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1639016603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · 216553
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
102 STARLITE DR, Kingfisher, OK 73750

Other Names 1

Former Name (1)Stephanie Simpson

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Luecke 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 ID4789156357
PECOS Enrollment IDI20260615002357
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Luecke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
21001 SE 29TH ST UNIT 1
Harrah, OK 73045
  • Reassigned Medicare billing, Oklahoma enrollment
  • 59 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73750 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
102 STARLITE DR
KINGFISHER, OK 73750

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 Stephanie Luecke's NPI number?

The NPI number for Stephanie Luecke is 1639016603. It was assigned to this individual provider in the NPPES registry on April 29, 2026. The provider is also known as Stephanie Simpson.

Where is Stephanie Luecke located?

Stephanie Luecke practices at 102 Starlite Dr, Kingfisher, OK 73750. The listed phone number is (572) 200-8805.

What is Stephanie Luecke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Luecke enrolled in Medicare?

Yes. Stephanie Luecke 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.

Which organization bills Medicare for Stephanie Luecke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Luecke reassigns Medicare benefits to Icare Center LLC (Harrah, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Luecke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Luecke accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Stephanie Luecke 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 Stephanie Luecke was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.