Active NPI
Amy Leclere, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Cedar Rapids, IA
National Provider Identifier
1083224844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G160257
- Practice address
- 1026 A Ave NE
Cedar Rapids, IA 52402-5036 - Phone
- (319) 369-7959
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G160257 | IA | Primary |
Addresses
Primary practice location
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Mailing address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 981-2206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201027002774 | IA | Practitioner - Nurse Practitioner | 9739599051 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Methodist Hospital
Practice addresses (Care Compare)
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211
Hospital & facility affiliations
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.76 of 100
- Quality
- 75.82
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G160257 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| St. Luke'S Methodist Hospital | Current | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
Interoperability endpoints
- aleclere47529@direct.unitypoint.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Psychiatric Hospital Unit
- Cedar Rapids, IA
- NPI 1356433015
-
- Rehabilitation Hospital Unit
- Cedar Rapids, IA
- NPI 1558453217
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Hospital & facility affiliations 1
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": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1083224844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 A AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025036",
"telephone_number": "319-981-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 A AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025036",
"telephone_number": "319-369-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLERE",
"first_name": "AMY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-11-18",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G160257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.