Illia Mai Leibering, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Tell City, IN
NPI 1275201113 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1275201113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 71011859A (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Consonant Healing Associates of de LLC
Owensboro Health Medical Group Inc
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
- Perry County Memorial Hospital
- Owensboro Health Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, KY
- 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 |
|---|---|---|---|---|
| I20220909002969 | IN | Practitioner - Nurse Practitioner | 1355726498 | Reassigns benefits to 3 organizations |
| I20241220002757 | KY | Practitioner - Nurse Practitioner | 1355726498 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Associates of de LLC | Current |
Accepting new patients | |
| Healing Partners Plus PLLC | 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
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/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 71011859A | IN | Yes |
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
Other providers in Tell City, IN
- Brandi Labhart
- Mark Labhart
- Cheryl Ann Lawalin
- Kayla Lawalin
- Joseph Earl Leclere
- Leitchfield Primary Care PLLC
- Liberty Bell Laboratory Inc
- Liberty Testing
- Lifespring, Inc
- Kirstyn Nichole Linne
All providers in Tell City, IN · Primary Care Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 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.