Christine A Leak, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

COA.11391-NP Issued in OH

Practice address

1010 Cereal Ave
Ste 300
Hamilton, OH 45013-2776

Phone

(513) 751-2145

Fax

(513) 751-2138

NPI assigned

Mar 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
• Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Merit-based Incentive Payment System (MIPS)

Final score

81.34 of 100Reported as group

Quality

63.67

Promoting interoperability

100

Improvement activities

40

Cost

74.14

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865
  Medicare reassignment Care Compare group NPD
• Carebridge Palliative Services Inc.

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Cincinnati, OH
  • NPI 1831423334
  NPD (past)
• Hospice of Southwest Ohio, Inc.

  • Community Based Hospice Care Agency
  • Cincinnati, OH
  • NPI 1043295611
  NPD (past)
• Oncology Hematology Care Inc

  • Medical Oncology Physician
  • Cincinnati, OH
  • NPI 1790778041
  NPD (past)
• University of Cincinnati Physicians, Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1417108697
  NPD (past)
• Oncology/ Hematology Care, Inc.

  • Medical Oncology Physician
  • Lawrenceburg, IN
  • NPI 1164426813
  NPD (past)

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

• Kettering Medical Center

  • General Acute Care Hospital
  • Kettering, OH
  • NPI 1043233984
  Care Compare affiliation
• The Fort Hamilton Hospital

  • General Acute Care Hospital
  • Hamilton, OH
  • NPI 1104867167
  Care Compare affiliation

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1093039935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "STE 300",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132776",
            "telephone_number": "513-751-2145",
            "fax_number": "513-751-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "address_2": "STE 300",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132776",
            "telephone_number": "513-751-2145",
            "fax_number": "513-751-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAK",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.11391-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057598",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100179630",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cleak455260@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1010 CEREAL AVE",
            "address_2": "STE 300",
            "city": "HAMILTON",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1010 CEREAL AVE",
            "address_2": "STE 300",
            "city": "HAMILTON",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Lawson
• Jennifer Anne Layne, RPH
• Hieu Le
• Arielle Nicole Leach
• Carol Leach
• Leonard Lynn Leary
• Janella Lebretton
• Hannah R Ledbetter
• Amber Ledford-Gerrard
• Justin Ledford

• Acute Care Nurse Practitioner in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.

Verify at the official NPI Registry.