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

Kelly J Lueck, FNP-C

Individual provider Family Nurse Practitioner · NPI 1578815809

Kelly J Lueck, FNP-C is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2012, 14 years ago. Practices with Owensboro Health Medical Group Inc, a 456-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Kentucky and Oregon.

Years since qualifying
14
Licensed in
AZ, KY, OR
In the registry since
2012
Specialties on file
6
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone: (480) 256-6444
Fax: (480) 256-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4312 N 7th Ave, Phoenix, AZ 85013-2903 — (602) 279-5049
  • 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 — (270) 417-5911

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201610216NP-PP (OR)
General Practice Physician Taxonomy 208D00000X · Licence TAP4690 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4042935 (KY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence TAP4690 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence TAP4690 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence 201610216NP-PP (OR)

Record details

NPI number1578815809
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 10, 2012
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Owensboro Health Medical Group Inc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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