Gwenn Leatherman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R185941 Issued in MD

Practice address

118 E Oak Ridge Dr Ste 2000
Hagerstown, MD 21740-7890

Phone

(016) 781-8393

Fax

(301) 679-1740

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Leatherman Healthcare LLCGroup PAC ID 7416334685, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Call Home health agency, Frederick, MD, CCN 217040
• Meritus Medical Center, Inc Home health agency, Hagerstown, MD, CCN 217085

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Leatherman Healthcare, LLC

  • Primary Care Nurse Practitioner
  • Hagerstown, MD
  • NPI 1972250009
  Medicare reassignment Care Compare group NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Homecall, LLC

  • Home Health Agency
  • Frederick, MD
  • NPI 1790870350
  Care Compare affiliation
• Meritus Medical Center, Inc.

  • Home Health Agency
  • Hagerstown, MD
  • NPI 1942290077
  Care Compare affiliation

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1164875654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E OAK RIDGE DR STE 2000",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407890",
            "telephone_number": "301-678-1839",
            "fax_number": "301-679-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E OAK RIDGE DR STE 2000",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407890",
            "telephone_number": "016-781-8393",
            "fax_number": "301-679-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "GWENN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R185941",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R185941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Lawson, LCSW-C
• Yasemin Ann Lawson
• LBH Community Care LLC
• Wayne Bruce Leadbetter, M.D.
• Leatherman Healthcare, LLC
• Jared Michael Leatherman, R.N.
• Zachari Douglas Leazier, NP
• Simon Lee-Feuillet, PTA
• Christine H Lee, DMD
• Dasol Lee, DDS

• Family Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.