Individual provider Active NPI

Marie Leon

  • Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1215333117
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2278872 Issued in MA
Practice address
819 Worcester St
Ste 3
Springfield, MA 01151-1045
Phone
(413) 543-6820
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2278872 MA Primary

Addresses

Primary practice location

819 Worcester St
Ste 3
Springfield, MA 01151-1045

Mailing address

133 Commander Shea Blvd Apt 810
North Quincy, MA 02171-1565
Phone (617) 894-5985

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150207000111 MA Practitioner - Nurse Practitioner 2365767639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Friberg Pkwy
Westborough, MA 01581-3900
Phone (508) 329-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2278872MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westborough Behavioral Healthcare Hospital, LLC CurrentSince Dec 18, 2023 Accepting new patients
Life Line Community Healthcare New Jersey, LLC Nurse Practitioner CurrentSince Jul 8, 2015 Accepting new patients

Locations

300 Friberg Pkwy
Westborough, MA 01581
Phone (508) 329-6300

70 Niagara St
Ste 13
Buffalo, NY 14202

6111 Oak Tree Blvd
Ste 301
Independence, OH 44131
Phone (216) 581-6556

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1215333117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 COMMANDER SHEA BLVD APT 810",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021711565",
            "telephone_number": "617-894-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST",
            "address_2": "STE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511045",
            "telephone_number": "413-543-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2278872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.