Individual provider Active NPI

Mansura Israel Leyva, CRNP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1215623954
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R220689 Issued in MD
Practice address
11921 Rockville Pike Ste 505
Rockville, MD 20852-2758
Phone
(301) 881-7246
NPI assigned
Apr 14, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 R220689 MD Primary

Addresses

Primary practice location

11921 Rockville Pike Ste 505
Rockville, MD 20852-2758

Mailing address

11672 Drumcastle Ter
Germantown, MD 20876-5635
Phone (240) 565-9975

Other practice location 1

121 Congressional Ln Ste 510
Rockville, MD 20852-1561
Phone (301) 984-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230526000061 DC Practitioner - Nurse Practitioner 1658737143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R220689MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 26, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Jan 4, 2026 Accepting new patients
Privia Care Center LLC CurrentSince Jan 4, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 26, 2024 Accepting new patients
Center for Pain Management, LLC CurrentSince Apr 20, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246

3202 Tower Oaks Blvd
Ste 100
Rockville, MD 20852
Phone (301) 217-0757

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mansura.leyva.1@8042.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1215623954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11672 DRUMCASTLE TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765635",
            "telephone_number": "240-565-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 ROCKVILLE PIKE STE 505",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522758",
            "telephone_number": "301-881-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Congressional Ln Ste 510",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521561",
            "country_code": "US",
            "telephone_number": "301-984-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "MANSURA",
        "middle_name": "ISRAEL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R220689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.