NPIMap

Individual provider Active NPI

Charles Di Leonardo, MSPAS, PA-C

  • Physician Assistant
  • Carson City, NV
National Provider Identifier
1356095871
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-3033 Issued in NV
Practice address
3325 Research Way
Carson City, NV 89706-7913
Phone
(775) 887-5140
Fax
(775) 884-3618
NPI assigned
Feb 4, 2022
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-3033 NV Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, TX, NV, CA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kima-W Medical CenterGroup PAC ID 5496740698, 21 clinicians
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
77.29
Promoting interoperability
97
Improvement activities
40
Cost
74.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-3033NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers Inc CurrentSince Sep 15, 2025 Accepting new patients
Nevada Health Centers, Inc CurrentSince Sep 15, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jun 16, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jun 16, 2025 Accepting new patients
Nevada Health Centers Inc Past Accepting new patients

Locations

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

762 14th St
Elko, NV 89801
Phone (775) 738-5850

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

1430 E Calvada Blvd
Ste 200
Pahrump, NV 89048
Phone (775) 257-7015

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 (918) 423-8400

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

  • Direct secure messaging: cdileonardo827547@direct.ochin.org

Organizations & group practices 7

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 11

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1356095871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913",
            "telephone_number": "775-887-5140",
            "fax_number": "775-884-3618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 E Amargosa Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Amargosa Valley",
            "state": "NV",
            "postal_code": "890209735",
            "country_code": "US",
            "telephone_number": "775-372-5432",
            "fax_number": "775-372-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI LEONARDO",
        "first_name": "CHARLES",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA-3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.