Active NPI
Allyn Edgar Joseph Leblanc, N.P.
- Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP2718
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5452 - Phone
- (480) 301-8000
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP2718 | AZ | |
| Nurse Practitioner | 363L00000X | AP2718 | AZ | Primary |
| Nurse Practitioner | 363L00000X | 95004227 | CA |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other practice location 1
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 239-4601
Other practice location 2
9130 E Elliot Rd
Mesa, AZ 85212-9675
Phone (480) 728-4493
Other practice location 3
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
Other practice location 4
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090911000302 | AZ | Practitioner - Nurse Practitioner | 0042365280 | Reassigns benefits to 6 organizations |
| I20170927002236 | CA | Practitioner - Nurse Practitioner | 0042365280 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Hospital Based Physicians Arizona LLCQuantum Healthcare Medical Associates of Arizona PC
Practice addresses (Care Compare)
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000
Hospital & facility affiliations
- Banner Baywood Medical Center
- Banner Thunderbird Medical Center
- Banner Gateway Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004227 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates of Arizona, PC | Current | Accepting new patients | |
| Emergency Physicians Southwest, PC | Nurse Practitioner | Current | Accepting new patients |
| Arizona Acute Medical Services 1 PC | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients | |
| Banner Imaging Associates PLC | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
13400 E Shea Blvd
Scottsdale, AZ 85259
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 11
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.
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- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1821391269
AZ
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
AZ
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
AZ, Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1124077755
Hospital & facility affiliations 3
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": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1376732685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "1111 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-239-4601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9130 E Elliot Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852129675",
"country_code": "US",
"telephone_number": "480-728-4493",
"fax_number": "602-212-4806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1955 W Frye Rd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852246282",
"country_code": "US",
"telephone_number": "480-728-3000",
"fax_number": "602-230-6461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBLANC",
"first_name": "ALLYN",
"middle_name": "EDGAR JOSEPH",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP2718",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP2718",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95004227",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.