Individual provider Active NPI

Kali A Leach, CRNP

  • Family Nurse Practitioner
  • Wellsboro, PA
National Provider Identifier
1215519954
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023499 Issued in PA
Practice address
103 West Ave Ste 203
Wellsboro, PA 16901-1311
Phone
(570) 724-3744
Fax
(570) 724-2459
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023499 PA Primary

Addresses

Primary practice location

103 West Ave Ste 203
Wellsboro, PA 16901-1311

Mailing address

103 West Ave Ste 203
Wellsboro, PA 16901-1311
Phone (570) 724-3744

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701000179 PA Practitioner - Nurse Practitioner 2769883479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc WellsboroGroup PAC ID 5294710414, shared by 4 NPIs, 22 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

103 W Ave
Suite 203 Office of Internal Medicine a de
Wellsboro, PA 16901-1358
Phone (570) 724-3744

416 S Main St
Mansfield, PA 16933-1510

9 Water St
Office of Orthopedics
Wellsboro, PA 16901-1117
Phone (570) 724-2325

Hospital & facility affiliations

  • Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
  • Family Hospice Hospice, Williamsport, PA, CCN 391513
  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
86.43
Promoting interoperability
100
Improvement activities
40
Cost
44.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP023499PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Wellsboro CurrentSince May 1, 2021 Accepting new patients
Upmc Wellsboro CurrentSince May 1, 2021 Accepting new patients

Locations

9 Water St
Ofc Of
Wellsboro, PA 16901
Phone (570) 724-2325

103 West Ave
Ste 203
Wellsboro, PA 16901
Phone (570) 724-3744

32-36 Central Ave
Ofc
Wellsboro, PA 16901

Interoperability endpoints

  • Direct secure messaging: kleach149394@upmc.direct-ci.com
  • Direct secure messaging: kali.a.leach@upmcdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1215519954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WEST AVE STE 203",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011311",
            "telephone_number": "570-724-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST AVE STE 203",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011311",
            "telephone_number": "570-724-3744",
            "fax_number": "570-724-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "KALI",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.