Charles Di Leonardo, MSPAS, PA-C
Individual provider Active NPI Physician Assistant · Carson City, NV
NPI 1356095871 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1356095871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-3033 (NV)
- Practice address
- 3325 Research Way
Carson City, NV 89706-7913 - Phone
- (775) 887-5140
- Fax
- (775) 884-3618
- NPI assigned
- Feb 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kima-W Medical Center
Choctaw Nation of Oklahoma
Practice addresses (Care Compare)
535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261
902 Lincoln Rd
Choctaw National Health Care Idabel
Idabel, OK 74745-7817
Phone (539) 316-6391
Hospital & facility affiliations
- Choctaw Nation Health Services Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 77.29
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 74.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in ID, TX, NV, CA
- 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 |
|---|---|---|---|---|
| I20220505002144 | ID | Practitioner - Physician Assistant | 9830576123 | |
| I20250626001529 | TX | Practitioner - Physician Assistant | 9830576123 | Reassigns benefits to 1 organization |
| I20250904002513 | NV | Practitioner - Physician Assistant | 9830576123 | Reassigns benefits to 1 organization |
| I20260420003635 | CA | Practitioner - Physician Assistant | 9830576123 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-3033 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Health Centers Inc | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Nevada Health Centers Inc | Past | Accepting new patients |
Locations
3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140
3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
Interoperability endpoints
- cdileonardo827547@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-3033 | NV | Yes |
Addresses
Primary practice location
3325 Research Way
Carson City, NV 89706-7913
Mailing address
3325 Research Way
Carson City, NV 89706-7913
Other practice location 1
1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020-9735
Phone (775) 372-5432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250017702 | Medicaid | NV |
Other providers in Carson City, NV
- Desert Valley Family Practice
- Rachael Desmidt
- Laura Ann Deverse
- Mithun Gopal Devraj
- Kathleen Dewinter
- Breanna D Di Pinto
- Diagnostic Pathology Medical Group, Inc.
- Dialysis Clinic Inc
- Dialysis Clinic Inc.
- Dorsey D Diaz
All providers in Carson City, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. 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.