Individual provider Active NPI

Morganne Atteberry, FNP

  • Nurse Practitioner
  • Demotte, IN
National Provider Identifier
1376280073
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71012554A Issued in IN
Practice address
Leestma Medical Clinic Inc.
519 N Halleck St.
Demotte, IN 46310
Phone
(219) 987-7750
Fax
(219) 987-5750
NPI assigned
May 16, 2022
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 71012554A IN Primary

Addresses

Primary practice location

Leestma Medical Clinic Inc.
519 N Halleck St.
Demotte, IN 46310

Mailing address

4553 Autumn RDG
Wheatfield, IN 46392
Phone (219) 964-9419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250122003086 IN Order and Referring Only - Nurse Practitioner 6800325747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leestma Medical Clinic, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21537/brand/1/csg/1/fhir/r4
  • Direct secure messaging: morganne.atteberry.1@21537.direct.athenahealth.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, 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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1376280073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 AUTUMN RDG",
            "city": "WHEATFIELD",
            "state": "IN",
            "postal_code": "46392",
            "telephone_number": "219-964-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEESTMA MEDICAL CLINIC INC.",
            "address_2": "519 N HALLECK ST.",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "46310",
            "telephone_number": "219-987-7750",
            "fax_number": "219-987-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERRY",
        "first_name": "MORGANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012554A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demotte, IN

Sources for this page

Verify at the official NPI Registry.