Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Alan Luebbehusen, MSN, RN, NP-C

Individual provider Family Nurse Practitioner · NPI 1154925907

Blake Alan Luebbehusen, MSN, RN, NP-C is a Nurse Practitioner in Elkhart, Indiana. Qualified in 2020, 6 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
Phone: (574) 389-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71010668A (IN)

Record details

NPI number1154925907
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , RN , NP-C
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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