Individual provider Active NPI

Lori Sue Leisenring, ANP-C

  • Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1326688300
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012584 Issued in NC
Practice address
206 Hastings LN
Elizabeth City, NC 27909-3324
Phone
(252) 335-1083
Fax
(252) 335-4030
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012584 NC Primary

Addresses

Primary practice location

206 Hastings LN
Elizabeth City, NC 27909-3324

Mailing address

206 Hastings LN
Elizabeth City, NC 27909-3324
Phone (252) 335-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200303002537 NC Practitioner - Nurse Practitioner 1759718794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albemarle Nephrology PLLCGroup PAC ID 2466559760, 4 clinicians

Practice addresses (Care Compare)

206 Hastings LN
Elizabeth City, NC 27909-3324
Phone (252) 335-1083

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Nephrology PLLC CurrentSince Jan 2, 2020 Accepting new patients

Locations

206 Hastings Ln
Elizabeth Cty, NC 27909
Phone (252) 335-1083

Interoperability endpoints

  • Direct secure messaging: lori.kitner@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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 1

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1326688300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-335-1083",
            "fax_number": "252-335-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HASTINGS LN",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093324",
            "telephone_number": "252-335-1083",
            "fax_number": "252-335-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEISENRING",
        "first_name": "LORI",
        "middle_name": "SUE",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.