Individual provider Active NPI

Allyn Edgar Joseph Leblanc, N.P.

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1376732685
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP2718 Issued in AZ
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

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 3274782487, 636 clinicians
Quantum Healthcare Medical Associates of Arizona PCGroup PAC ID 5597946350, 33 clinicians

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 Hospital, Mesa, AZ, CCN 030088
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004227CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Oct 1, 2022 Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC CurrentSince Apr 1, 2025 Accepting new patients
Emergency Physicians Southwest, PC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Sep 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Oct 10, 2020 Accepting new patients
Regents of the University of California CurrentSince Oct 10, 2020 Accepting new patients
Mayo Clinic Arizona CurrentSince Oct 1, 2022 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.

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

Verify at the official NPI Registry.