Individual provider Active NPI

Samantha Jo Leos, NP

  • Family Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1013609874
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221249 Issued in AZ
Practice address
2730 N Trekell Rd
Casa Grande, AZ 85122-1019
Phone
(520) 836-8500
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 221249 AZ Primary
Nursing Care Agency 251J00000X 221249 AZ

Addresses

Primary practice location

2730 N Trekell Rd
Casa Grande, AZ 85122-1019

Mailing address

3875 S Dew Drop LN
Gilbert, AZ 85297-8031
Phone (520) 494-4883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260119000348 AZ Practitioner - Nurse Practitioner 6507343878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Health of Arizona LLCGroup PAC ID 1951834811, 5 clinicians

Practice addresses (Care Compare)

41810 N Venture Dr
Suite E152
Anthem, AZ 85086-3176
Phone (954) 923-7440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221249AZMDNursing Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of Arizona LLC Single Specialty CurrentSince Jan 26, 2026 Accepting new patients
Minghsun Liu, MD PC Single Specialty CurrentSince Jan 26, 2026 Accepting new patients
Inspeech Inc Single Specialty PastSince May 28, 2023 Accepting new patients
Casa Grande Union HSD PastSince May 28, 2023 Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

Organizations & group practices 4

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1013609874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 S DEW DROP LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978031",
            "telephone_number": "520-494-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221019",
            "telephone_number": "520-836-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOS",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "221249",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AZ",
            "license": "221249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.