Individual provider Active NPI

Nancy E Leport, CNM

  • Advanced Practice Midwife
  • Oak Bluffs, MA
National Provider Identifier
1205034683
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
224804 Issued in MA
Practice address
One Hospital Road
Oak Bluffs, MA 02557-1477
Phone
(508) 693-0410
Fax
(508) 693-5971
NPI assigned
Jul 6, 2007
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 224804 MA Primary

Addresses

Primary practice location

One Hospital Road
Oak Bluffs, MA 02557-1477

Mailing address

PO Box 1477
Oak Bluffs, MA 02557-1477
Phone (508) 684-4500

Other identifiers 1

IdentifierTypeStateIssuer
0717738MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000070 MA Practitioner - Certified Nurse Midwife (CNM) 6103848627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martha's Vineyard Hospital IncGroup PAC ID 9931166113, shared by 5 NPIs, 150 clinicians

Practice addresses (Care Compare)

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone 508693041079525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
224804MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Vineyard Hospital, Inc. CurrentSince Jan 16, 2024 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Jan 16, 2024 Accepting new patients
Martha's Vineyard Hospital Advanced Practice Midwife Current Accepting new patients
Dartmouth-Hitchcock Clinic Past Accepting new patients

Locations

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

340 Main St
Ste 670
Worcester, MA 01608
Phone (508) 754-3560

Interoperability endpoints

  • Direct secure messaging: leport.nancy.mvh@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1205034683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-684-4500",
            "fax_number": "508-684-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL ROAD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-693-0410",
            "fax_number": "508-693-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORT",
        "first_name": "NANCY",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "224804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717738",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

Verify at the official NPI Registry.