Individual provider Active NPI

Leah Cipollone, FNP

  • Nurse Practitioner
  • Wethersfield, CT
National Provider Identifier
1013492305
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6929 Issued in CT
Practice address
1283 Silas Deane Hwy
Wethersfield, CT 06109-4302
Phone
(860) 249-8659
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6929 CT Primary
Family Nurse Practitioner 363LF0000X 6929 CT

Addresses

Primary practice location

1283 Silas Deane Hwy
Wethersfield, CT 06109-4302

Mailing address

1137 Ridgewood Rd
Middletown, CT 06457-8713
Phone (860) 334-3371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200331002570 CT Practitioner - Nurse Practitioner 1254760929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthmed Urgent Care LLCGroup PAC ID 7214171685, 3 clinicians

Practice addresses (Care Compare)

35 Marc Dr
Wallingford, CT 06492-5708
Phone (203) 265-0981

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthmed Urgent Care, LLC CurrentSince Apr 22, 2024 Accepting new patients
MWL-Wethersfield PastSince Aug 1, 2020 Accepting new patients
MJS One, LLC Past Accepting new patients

Locations

35 Marc Dr
Wallingford, CT 06492
Phone (203) 265-0981

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1013492305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 RIDGEWOOD RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578713",
            "telephone_number": "860-334-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094302",
            "telephone_number": "860-249-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLONE",
        "first_name": "LEAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "6929",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.