KALI LUECKE PA-C
NPI 1881148005
Physician Assistant - Medical in Fargo, ND

Active since August 04, 2016PECOS EnrolledAccepts Medicare Assignment
301 NP AVE N, FARGO, ND 58102(701) 271-3344(701) 271-1480 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kali Luecke Pa-c NPPES

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

KALI LUECKE PA-C (NPI 1881148005) is an individual medical provider in Fargo, North Dakota, licensed in North Dakota (PAC0748) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Presentation Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881148005
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKALI LUECKECredential: PA-C
Location Address301 NP AVE NFargo, ND 58102-4835
Mailing Address301 Np Ave NFargo, ND 58102-4835 · (701) 271-3344 · Fax (701) 271-1480
Fax(701) 271-1480
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 4, 2016
Last NPPES UpdateJanuary 21, 2019
NPI 1881148005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in ND · PAC0748 Licensed in IL · 085.005909
301 NP AVE N, Fargo, ND 58102

Other Names 1

Former Name (1)Kali Shephard

Accepted 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

Kali Luecke Pa-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 ID5294022109
PECOS Enrollment IDI20190409003282
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presentation Medical Center

Critical Access Hospitals · Rolla, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351316
Location213 Second Ave NERolla, ND 58367 · Rolette County
Emergency services

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
301 NP AVE N
FARGO, ND 58102
Pharmacist
301 NP AVE N
FARGO, ND 58102
Clinic/Center (Dental)
301 NP AVE N
FARGO, ND 58102
Community Health Worker
301 NP AVE N
FARGO, ND 58102
Pharmacist (Ambulatory Care)
301 NP AVE N
FARGO, ND 58102
Clinical Nurse Specialist (Family Health)
301 NP AVE N
FARGO, ND 58102
Nurse Practitioner (Family)
301 NP AVE N
FARGO, ND 58102
Clinic/Center (Federally Qualified Health Center (FQHC))
301 NP AVE N
FARGO, ND 58102

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 Kali Luecke's NPI number?

The NPI number for Kali Luecke is 1881148005. It was assigned to this individual provider in the NPPES registry on August 4, 2016. The provider is also known as Kali Shephard.

Where is Kali Luecke located?

Kali Luecke practices at 301 Np Ave N, Fargo, ND 58102. The listed phone number is (701) 271-3344.

What is Kali Luecke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kali Luecke enrolled in Medicare?

Yes. Kali 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.

What insurance does Kali Luecke accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kali 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.

Is Kali Luecke affiliated with any hospitals?

According to CMS data, Kali Luecke is affiliated with Presentation Medical Center.

When was this NPI record last updated?

The NPPES record for Kali Luecke was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.