Individual provider Active NPI

Jeanne Ann Leonard, ANP-C

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1386991156
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305994-1 Issued in NY
Practice address
303 9TH Ave
New York, NY 10001-5701
Phone
(347) 396-6299
Fax
(347) 396-6367
NPI assigned
Aug 10, 2012
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305994-1 NY Primary

Addresses

Primary practice location

303 9TH Ave
New York, NY 10001-5701

Mailing address

4209 28TH St # CN-48
Long Island City, NY 11101-4130
Phone (347) 396-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160928001869 NY Practitioner - Nurse Practitioner 3375764996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305994NYMDLicensed Practical Nurse
F305994-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of New York Office of Payroll Administration CurrentSince Jun 30, 2025 Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

1218 Prospect Pl
Brooklyn, NY 11213
Phone (718) 735-0561

1218 Prospect Pl
#M
Brooklyn, NY 11213
Phone (718) 953-8208

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

4209 28th St
#48
Long Island City, NY 11101
Phone (347) 396-6234

4209 28th St
Fl 17
Long Island City, NY 11101
Phone (646) 527-0267

Organizations & group practices 4

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1386991156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH ST # CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015701",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305994-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.