Active NPI
Illia Mai Leibering, FNP-C
- Primary Care Nurse Practitioner
- Tell City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 71011859A
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | 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
- 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.
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
IN
-
- Family Nurse Practitioner
- Tell City, IN
- NPI 1538816905
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.