Kelcey Diane Leopard, FNP-C CST CNOR RNFA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A168677 Issued in IA

Practice address

417 S East St
Corydon, IA 50060-1835

Phone

(641) 872-2260

NPI assigned

Oct 3, 2019

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne County Hospital Hospital, Corydon, IA, CCN 161358
• Davis County Hospital Hospital, Bloomfield, IA, CCN 161327

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/639e10d5-cd9b-4520-ac16-cab58cec3fc7/

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.

• Wayne County Hospital

  • Critical Access Hospital
  • Corydon, IA
  • NPI 1174599468
  Medicare reassignment Care Compare group
• Davis County Hospital

  • Specialist
  • Bloomfield, IA
  • NPI 1487740486
  Medicare reassignment NPD
• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Medicare reassignment NPD
• Davis County Hospital

  dba Davis County Medical Associates

  • Rural Health Clinic/Center
  • Bloomfield, IA
  • NPI 1821413667
  NPD
• Davis County Hospital

  • Skilled Nursing Facility
  • Bloomfield, IA
  • NPI 1437102068
  NPD (past)
• Wayne County Hospital

  dba Seymour Medical Clinic

  • Rural Health Clinic/Center
  • Seymour, IA
  • NPI 1780873919
  NPD (past)

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

• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Care Compare affiliation
• Wayne County Hospital

  • Critical Access Hospital
  • Corydon, IA
  • NPI 1174599468
  Care Compare affiliation

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1114568870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N BUTLER ST APT 1",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601323",
            "telephone_number": "641-203-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S EAST ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601835",
            "telephone_number": "641-872-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPARD",
        "first_name": "KELCEY",
        "middle_name": "DIANE",
        "credential": "FNP-C CST CNOR RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-08-15",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A168677",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IA",
            "license": "140534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL INSTITUTE OF FIRST ASSISTING",
            "identifier": "CEP11471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Imholte
• Infinity Health
• Brandon Lee Jenson, DO
• Kylie Kent, LMSW
• Heidi Lancaster, RN
• LK Madison MD LLC
• Maxwell Alexander Loew, DDS
• Rachel McIlwain
• Medicine Creek Wellness, PLLC
• Clayton John Merritt, ARNP

• Nurse Practitioner in Corydon, IA
• Providers in Corydon, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.