Individual provider Active NPI

Leonard Joseph Cooley, DNP, APNP, FNP-BC

  • Family Nurse Practitioner
  • Galloway, OH
National Provider Identifier
1023574605
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030649 Issued in OH
Practice address
6129 Nasby Dr
Galloway, OH 43119-8291
Phone
(317) 559-0950
NPI assigned
Feb 19, 2019
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0030649 OH Primary

Addresses

Primary practice location

6129 Nasby Dr
Galloway, OH 43119-8291

Mailing address

PO Box 586
Galloway, OH 43119-0586
Phone (608) 723-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20221012000717 OH Practitioner - Nurse Practitioner 6103168091 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Mobile MD Ohio LLCGroup PAC ID 7618372442, 11 clinicians

Practice addresses (Care Compare)

Galloway, OH 43119
Phone (765) 969-7841

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030649OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Jul 2, 2022 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Jul 2, 2022 Accepting new patients
My Mobile MD Ohio Psychiatric Services LLC CurrentSince Jul 22, 2025 Accepting new patients
My Mobile MD Ohio LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 200
Louisville, KY 40222

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

26110 Emery Rd
Ste 300
Warrensvl Hts, OH 44128
Phone (216) 292-5750

Organizations & group practices 6

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 5

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1023574605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431190586",
            "telephone_number": "608-723-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 NASBY DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431198291",
            "telephone_number": "317-559-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "LEONARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DNP, APNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, OH

Sources for this page

Verify at the official NPI Registry.