Active NPI
Lisa M. Leitzell, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- SP012407
- Practice address
- 1693 S Queen St
York, PA 17403-4609 - Phone
- (717) 845-1621
- Fax
- (717) 854-6939
- NPI assigned
- Oct 18, 2012
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | SP012407 | PA | Primary |
Addresses
Primary practice location
1693 S Queen St
York, PA 17403-4609
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 845-1621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103037670 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
450 S Washington St
Suite B
Gettysburg, PA 17325-2500
Phone (717) 337-4487
Hospital & facility affiliations
- Wellspan York Hospital
- Gettysburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Nurse Practitioner | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
1 Trinity Dr E
Ste 120
Dillsburg, PA 17019
Phone (717) 231-8341
450 S Washington St
Ste B
Gettysburg, PA 17325
Phone (717) 337-4487
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
100 S 2nd St
Ste 4A
Harrisburg, PA 17101
Phone (717) 231-8341
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
1693 S Queen St
York, PA 17403
Phone (717) 356-5330
Interoperability endpoints
- lleitzell274034@wellspan.direct-ci.com
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Family Medicine Physician
- Mechanicsburg, PA
- NPI 1164860888
Nurse Practitioner
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Fayetteville, PA
- NPI 1780468140
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1174876940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-845-1621",
"fax_number": "717-845-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1693 S QUEEN ST",
"city": "YORK",
"state": "PA",
"postal_code": "174034609",
"telephone_number": "717-845-1621",
"fax_number": "717-854-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITZELL",
"first_name": "LISA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "SP012407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103037670",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.