Individual provider Active NPI

Illia Mai Leibering, FNP-C

  • Primary Care Nurse Practitioner
  • Tell City, IN
National Provider Identifier
1275201113
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
71011859A Issued in IN
Practice address
8735 State Road 37 Ste B
Tell City, IN 47586-8349
Phone
(812) 547-9663
Fax
(812) 772-2871
NPI assigned
Sep 4, 2021
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71011859A IN Primary

Addresses

Primary practice location

8735 State Road 37 Ste B
Tell City, IN 47586-8349

Mailing address

8735 State Road 37 Ste B
Tell City, IN 47586-8349
Phone (812) 547-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20220909002969 IN Practitioner - Nurse Practitioner 1355726498 Reassigns benefits to 3 organizations
I20241220002757 KY Practitioner - Nurse Practitioner 1355726498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Associates of de LLCGroup PAC ID 2466871694, 81 clinicians

Practice addresses (Care Compare)

101 Potters LN
Clarksville, IN 47129-1017
Phone (443) 383-9300

2211 Mayfair Dr
Suite 101
Owensboro, KY 42301-4569
Phone (270) 691-8070

421 7TH St
Tell City, IN 47586-2202
Phone (812) 547-7448

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince May 6, 2024 Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550

2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540

105 Water St
Plymouth, IN 46563
Phone (574) 540-2052

3499 Blazer Pkwy
Ste 300
Lexington, KY 40509
Phone (859) 699-1803

828 Lane Allen Rd
Ste 219
Lexington, KY 40504
Phone (317) 782-1577

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 3

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": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1275201113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 STATE ROAD 37 STE B",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868349",
            "telephone_number": "812-547-9663",
            "fax_number": "812-772-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 STATE ROAD 37 STE B",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868349",
            "telephone_number": "812-547-9663",
            "fax_number": "812-772-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBERING",
        "first_name": "ILLIA",
        "middle_name": "MAI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2024-05-01",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71011859A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

Verify at the official NPI Registry.