Individual provider Active NPI

Mary Jeanne Deleon, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wenatchee, WA
National Provider Identifier
1184692006
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD60784399 Issued in WA
Practice address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone
(509) 663-8711
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD60784399 WA Primary

Addresses

Primary practice location

820 N Chelan Ave
Wenatchee, WA 98801-2028

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other identifiers 3

IdentifierTypeStateIssuer
G8971577OtherWAWVH PTAN
1184692006MedicaidWA
G8971576OtherWAWVH PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, TX, ME4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200116003086 CA Practitioner - Endocrinology 0345224663 Reassigns benefits to 2 organizations
I20200325003177 HI Practitioner - Family Practice 0345224663 Reassigns benefits to 2 organizations
I20200421000623 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 0345224663 Reassigns benefits to 4 organizations
I20230504001665 ME Practitioner - Endocrinology 0345224663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Towner County Medical Center IncGroup PAC ID 6800798497, shared by 4 NPIs, 12 clinicians
Eagle Butte Indian Health Service HospitalGroup PAC ID 7517852759, 42 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians

Practice addresses (Care Compare)

228 1St Ave
Cando, ND 58324-7500
Phone (701) 968-2541

24276 166TH Airport Rd
Eagle Butte, SD 57625-1022
Phone 60596477240515

900 Broadway
Bangor, ME 04401-1900
Phone (207) 907-1187

Hospital & facility affiliations

  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Eagle Butte Indian Health Service Hospital Hospital, Eagle Butte, SD, CCN 431383
  • Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC CurrentSince Apr 1, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince May 9, 2024 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Feb 26, 2020 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jun 22, 2022 Accepting new patients
Kau Hospital CurrentSince Mar 1, 2020 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Dec 9, 2019 Accepting new patients
Kau Hospital CurrentSince Mar 1, 2020 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Rosebud Indian Health Service CurrentSince Jun 1, 2024 Accepting new patients
Rosebud Indian Health Service CurrentSince Jun 1, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince May 9, 2024 Accepting new patients
St. Joseph Hospital CurrentSince May 1, 2023 Accepting new patients
Confermed PC Past Accepting new patients
US Dept of HHS Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
US Health Dept of Health & Human Services Past Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

11 Silver St
Unit 856
Middletown, CT 06457

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

900 Broadway
Bldg 1
Bangor, ME 04401
Phone (207) 907-1187

900 Broadway
Bangor, ME 04401
Phone (207) 907-3300

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

1300 Hospital Loop
Belcourt, ND 58316

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

4100 W 150th St
#3
Cleveland, OH 44135

Networks

  • HI PPO

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1184692006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "MARY",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD60784399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVH PTAN",
            "identifier": "G8971577",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184692006",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVH PTAN",
            "identifier": "G8971576",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.