Individual provider Active NPI

Leah Blatzer, NP

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1023667649
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178015 Issued in VA
Practice address
4510 Marshall Run Cir Apt 204
Glen Allen, VA 23059-5863
Phone
(614) 634-3726
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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 0024178015 VA Primary

Addresses

Primary practice location

4510 Marshall Run Cir Apt 204
Glen Allen, VA 23059-5863

Mailing address

4510 Marshall Run Cir Apt 204
Glen Allen, VA 23059-5863
Phone (614) 634-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200713002260 VA Practitioner - Nurse Practitioner 5890118681 Reassigns benefits to 2 organizations
I20240129003070 DC Practitioner - Nurse Practitioner 5890118681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 828-7929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.13
Promoting interoperability
98
Improvement activities
40
Cost
80.61

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024178015VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Jan 11, 2024 Accepting new patients
MCV Associated Physicians CurrentSince Apr 5, 2020 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

1139 E High St
Ste 203
Charlottesvle, VA 22902
Phone (434) 817-8484

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 827-8000

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

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.

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1023667649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 MARSHALL RUN CIR APT 204",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595863",
            "telephone_number": "614-634-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MARSHALL RUN CIR APT 204",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595863",
            "telephone_number": "614-634-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATZER",
        "first_name": "LEAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.