Individual provider Active NPI

Leah Marie Cossey, APRN

  • Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1013483700
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005963 Issued in AR
Practice address
1194 W Walnut St
Rogers, AR 72756-3544
Phone
(479) 878-2550
Fax
(479) 878-2555
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X A005963 AR Primary

Addresses

Primary practice location

1194 W Walnut St
Rogers, AR 72756-3544

Mailing address

14415 E Battlefield Park Rd
Prairie Grove, AR 72753-9236
Phone (479) 970-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102002501 AR Practitioner - Nurse Practitioner 5799020236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Practice addresses (Care Compare)

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005963ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Medical Services, PLLC Single Specialty CurrentSince Oct 13, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities Single Specialty Past Accepting new patients

Locations

1 Saint Vincent Cir
Little Rock, AR 72205
Phone (479) 878-2250

2708 S Rife Medical Ln
Ste T30
Rogers, AR 72758
Phone (479) 338-3999

1194 W Walnut St
Rogers, AR 72756
Phone (479) 878-2250

601 N 1st Ave
Durant, OK 74701

Interoperability endpoints

  • Direct secure messaging: lcossey172577@directc.mercy.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1013483700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 E BATTLEFIELD PARK RD",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727539236",
            "telephone_number": "479-970-1744",
            "fax_number": "479-878-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563544",
            "telephone_number": "479-878-2550",
            "fax_number": "479-878-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSEY",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.