Individual provider Active NPI

Stephany Leclair, MSN, APRN, A-GNP-C

  • Registered Nurse
  • Leesburg, FL
National Provider Identifier
1376155929
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
282725 Issued in NC
Practice address
1340 Citizens Blvd
Leesburg, FL 34748-3924
Phone
(352) 435-7695
NPI assigned
Aug 17, 2020
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 282725 NC Primary

Addresses

Primary practice location

1340 Citizens Blvd
Leesburg, FL 34748-3924

Mailing address

23442 Valderama LN
Sorrento, FL 32776-6936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230705003449 FL Practitioner - Nurse Practitioner 0749649085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.29 of 100Reported as group
Quality
90.57
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
282725NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Johnny Gurgen DO PA CurrentSince Jul 10, 2023 Accepting new patients

Locations

920 Rolling Acres Rd
Unit 203
Lady Lake, FL 32159
Phone (352) 435-7695

1340 Citizens Blvd
Leesburg, FL 34748
Phone (352) 435-7695

210 S Lake St
Ste 9
Leesburg, FL 34748
Phone (352) 435-7695

920 Rolling Acres Rd
Unit 205
The Villages, FL 32159
Phone 3526337930 ext. 35263

Interoperability endpoints

  • Direct secure messaging: sleclair@drgurgen.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1376155929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23442 VALDERAMA LN",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327766936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CITIZENS BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483924",
            "telephone_number": "352-435-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "STEPHANY",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "282725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.