Active NPI
Leonie S Vachon, NP
- Nurse Practitioner
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP013123
- Practice address
- 2121 Old Gatesburg Rd
State College, PA 16803-2290 - Phone
- (814) 231-7277
- Fax
- (814) 231-1582
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 719031 | TX | |
| Nurse Practitioner | 363L00000X | SP013123 | PA | Primary |
| Nurse Practitioner | 363L00000X | 5004727 | NC |
Addresses
Primary practice location
2121 Old Gatesburg Rd
State College, PA 16803-2290
Mailing address
155 Wellness Way
State College, PA 16803-6702
Phone (814) 231-7000
Other practice location 1
200 Scenery Dr
Department of Gastroenterology
State College, PA 16801-7974
Phone (814) 231-6255
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lvachon111665@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
200 Scenery Dr
State College, PA 16801-7974
Phone (814) 231-4560
2000 Westinghouse Dr
Cranberry Township, PA 16066-5238
2121 Old Gatesburg Rd
Suite 100
State College, PA 16803-2290
Phone (814) 231-6868
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004727 | NC | MD | Nurse Practitioner |
| SP013123 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Mount Nittany Medical Center Health Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Past | Accepting new patients |
Locations
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
100 N Academy Ave
Danville, PA 17822
611 University Dr
State College, PA 16801
Phone (814) 234-2600
155 Wellness Way
State College, PA 16803
Phone (800) 367-0179
1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800
200 Scenery Dr
State College, PA 16801
Phone (814) 231-4560
2121 Old Gatesburg Rd
Ste 100
State College, PA 16803
Phone (814) 231-6868
Interoperability endpoints
- lvachon111665@direct.geisinger.edu
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
Nurse Practitioner
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Pain Clinic/Center
- State College, PA
- NPI 1407035553
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewistown, PA
- NPI 1497338313
-
- Ambulatory Surgical Clinic/Center
- Port Matilda, PA
- NPI 1801531322
Hospital
-
- Psychiatric Hospital Unit
- Lewistown, PA
- NPI 1831242114
-
- General Acute Care Hospital
- Lewistown, PA
- NPI 1861545683
-
- General Acute Care Hospital
- State College, PA
- NPI 1730173154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1396971198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WELLNESS WAY",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168036702",
"telephone_number": "814-231-7000",
"fax_number": "814-231-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 OLD GATESBURG RD",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168032290",
"telephone_number": "814-231-7277",
"fax_number": "814-231-1582"
}
],
"practiceLocations": [
{
"address_1": "200 Scenery Dr",
"address_2": "Department of Gastroenterology",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168017974",
"country_code": "US",
"telephone_number": "814-231-6255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VACHON",
"first_name": "LEONIE",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "719031",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP013123",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5004727",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lvachon111665@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "200 Scenery Dr",
"address_2": "Department of Gastroenterology",
"city": "State College",
"state": "PA",
"country_code": "US",
"postal_code": "168017974",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.