Individual provider Active NPI

Lisa J Leonard, PA

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1235107533
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008418 Issued in CO
Practice address
1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267
Phone
(303) 914-8800
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008418 CO Primary
Physician Assistant 363A00000X PA940 KY

Addresses

Primary practice location

1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267

Mailing address

1746 Cole Blvd Ste 150
Lakewood, CO 80401-3267

Other practice location 1

One Medical Village Drive
Edgewood, KY 41017
Phone (859) 301-2160

Other identifiers 2

IdentifierTypeStateIssuer
95005849MedicaidKY
P00329715OtherRRMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221102001772 IN Practitioner - Physician Assistant 2668494998 Reassigns benefits to 1 organization
I20240401003346 CO Practitioner - Physician Assistant 2668494998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians
Spectrum Medical Imaging LLCGroup PAC ID 1355647595, 50 clinicians

Practice addresses (Care Compare)

1375 E 19TH Ave
Denver, CO 80218-1114
Phone (303) 914-8800

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 914-8800

1610 Prairie Ctr Pkwy
Suite 2100
Brighton, CO 80601-4001
Phone (720) 523-5720

1719 E 19TH Ave
Denver, CO 80218-1235
Phone (303) 914-8800

4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 914-8800

9191 Grant St
Thornton, CO 80229-4361
Phone (303) 914-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
75
Improvement activities
40
Cost
88.31

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008418COMDPhysician Assistant
TC665KYMDPhysician Assistant

Organizations & group practices 3

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 7

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1235107533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013267",
            "telephone_number": "303-914-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Village Drive",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "41017",
            "country_code": "US",
            "telephone_number": "859-301-2160",
            "fax_number": "859-301-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008418",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005849",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00329715",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.