Amy Leber, APRN
Individual provider Active NPI Gerontology Nurse Practitioner · Dayton, OH
NPI 1215663166 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1215663166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- RN386491 (OH)
- Practice address
- 4977 Northcutt PL
Dayton, OH 45414-3839 - Phone
- (937) 387-6395
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pure Healthcare LLC
Practice addresses (Care Compare)
1900 Akron Rd
Wooster, OH 44691-2518
Phone (330) 264-4899
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240715003730 | OH | Practitioner - Nurse Practitioner | 5395280226 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.386491 | OH | MD | Registered Nurse |
| RN386491 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Healthcare LLC | Current |
Accepting new patients | |
| The Hospice of Dayton, Inc. | Current |
Accepting new patients |
Locations
1109 Eastern Ave
Ashland, OH 44805
Phone (330) 264-4899
7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490
2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873
324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490
1263 Glen Dr
#B
Millersburg, OH 44654
Phone (330) 264-4899
716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605
2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311
1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.386491 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | RN386491 | OH | Yes |
Addresses
Primary practice location
4977 Northcutt PL
Dayton, OH 45414-3839
Mailing address
647 Rockhill Ave
Kettering, OH 45429-3441
Phone (937) 823-2937
Other names
- Amy Hunter
Other providers in Dayton, OH
- Molly Leavens
- Kelsea Leavitt
- Andrew Damian Lebamoff
- Damian Ivan Lebamoff
- Annick Lebenns
- Samantha Denise Lebo
- Wendy Leborgne
- William K Lecain
- Amanda J Leckey
- Kala Lecomte
All providers in Dayton, OH · Gerontology Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.