Individual provider Active NPI

Carrie Ann Leeper, PA-C

  • Medical Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1417292848
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055892 Issued in PA
Practice address
1000 Norland Ave
Chambersburg, PA 17201-4229
Phone
(717) 267-6363
Fax
(717) 217-6937
NPI assigned
Dec 12, 2012
Last updated
Dec 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055892 PA Primary
Medical Physician Assistant 363AM0700X OA003310 PA

Addresses

Primary practice location

1000 Norland Ave
Chambersburg, PA 17201-4229

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 597-5553

Other practice location 2

46 Walnut Bottom Rd Ste 100
Shippensburg, PA 17257-8219
Phone (717) 477-2764

Other practice location 3

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088

Other practice location 4

6375 Mercury Dr
Suite 200
Mechanicsburg, PA 17050-5282
Phone (717) 620-2500 ext. 104

Other practice location 5

1015 Philadelphia Ave
Chambersburg, PA 17201-1279
Phone (717) 264-3278

Other practice location 6

354 Alexander Spring Rd
Carlisle, PA 17015-7451
Phone (717) 462-6873

Other practice location 7

550 E 2nd St
Waynesboro, PA 17268-2352
Phone (717) 264-3278

Other practice location 8

501 E Main St
Waynesboro, PA 17268-2394
Phone (717) 765-3406

Other practice location 9

112 N 7th St
Chambersburg, PA 17201-1700
Phone (717) 267-7146

Other practice location 10

1624 Orchard Dr
Chambersburg, PA 17201-9206
Phone (717) 217-6915

Other practice location 11

1624 Orchard Dr
Chambersburg, PA 17201-9206
Phone (717) 217-6915

Other identifiers 1

IdentifierTypeStateIssuer
103144339MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130219000135 PA Practitioner - Physician Assistant 6901051119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1465
Phone (814) 503-4305

1900 River Rd
Clearfield, PA 16830-6026
Phone (814) 205-1250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 16, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 16, 2021 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
LMG Family Practice Past Accepting new patients
Myers Ambucare Surgery, LTD. PastSince Jul 1, 2008 Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

Organizations & group practices 6

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1417292848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-217-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORLAND AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014229",
            "telephone_number": "717-267-6363",
            "fax_number": "717-217-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-597-5553",
            "fax_number": "717-597-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "fax_number": "717-217-4207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "fax_number": "717-765-5066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6375 Mercury Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170505282",
            "country_code": "US",
            "telephone_number": "717-620-2500 x104",
            "fax_number": "717-620-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011279",
            "country_code": "US",
            "telephone_number": "717-264-3278",
            "fax_number": "717-262-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-462-6873",
            "fax_number": "717-462-6859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682352",
            "country_code": "US",
            "telephone_number": "717-264-3278",
            "fax_number": "717-262-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682394",
            "country_code": "US",
            "telephone_number": "717-765-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011700",
            "country_code": "US",
            "telephone_number": "717-267-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172019206",
            "country_code": "US",
            "telephone_number": "717-217-6915",
            "fax_number": "717-462-6859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172019206",
            "country_code": "US",
            "telephone_number": "717-217-6915",
            "fax_number": "717-462-6859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEPER",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2020-12-24",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055892",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103144339",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.