Leah Victoria Horner, MSN, APRN, PMHNP-BC

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fargo, ND

NPI 1215604657 · NPPES record last updated Jul 22, 2024

Key facts

NPI
1215604657
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
R38189 (ND)
Practice address
1316 23Rd St S
Fargo, ND 58103-3707
Phone
(701) 478-0333
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
D and L PC (4 clinicians)

Practice addresses (Care Compare)

1316 23Rd S St
Fargo, ND 58103-3707
Phone (701) 478-0333

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211220002059 ND Practitioner - Nurse Practitioner 3375934722 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D & L PC Current
since Nov 1, 2021
Accepting new patients

Locations

1316 23rd St S
Fargo, ND 58103
Phone (701) 478-0333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R38189 ND Yes

Addresses

Primary practice location

1316 23Rd St S
Fargo, ND 58103-3707

Mailing address

1316 23Rd St S
Fargo, ND 58103-3707
Phone (701) 478-0333

Other providers in Fargo, ND

All providers in Fargo, ND · Psychiatric/Mental Health Nurse Practitioner in North Dakota

Sources for this page

Verify at the official NPI Registry.