Individual provider Active NPI

Patricia Leone, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1457789984
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401543 Issued in NY
Practice address
211 J.B. Wise Plaza
Watertown, NY 13601
Phone
(315) 782-7445
Fax
(315) 779-1184
NPI assigned
Oct 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401543 NY Primary

Addresses

Primary practice location

211 J.B. Wise Plaza
Watertown, NY 13601

Mailing address

PO Box 6550
Watertown, NY 13601-6550
Phone (315) 788-7430

Other practice location 1

1825 Maple Rd
Suite 200
Williamsville, NY 14221-2723
Phone (716) 886-5493

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
I20141120000398 NY Practitioner - Nurse Practitioner 7012139405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Wales Ave
Tonawanda, NY 14150-2505

167 Polk St
Suite 300
Watertown, NY 13601-2770

PO Box
Suite 6550
Watertown, NY 13601-6550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home of Jefferson County CurrentSince Sep 10, 2018 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Mar 11, 2017 Accepting new patients
Children'S Home of Jefferson County CurrentSince Sep 10, 2023 Accepting new patients
Junaid Hashim MD CurrentSince Apr 26, 2020 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Mar 11, 2017 Accepting new patients

Locations

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

167 Polk St
Ste 300
Watertown, NY 13601

211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 788-7430

5904 Sheridan Dr
Ste 1
Williamsville, NY 14221
Phone (716) 886-5493

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1457789984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6550",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016550",
            "telephone_number": "315-788-7430",
            "fax_number": "315-785-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 J.B. WISE PLAZA",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-7445",
            "fax_number": "315-779-1184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Maple Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142212723",
            "country_code": "US",
            "telephone_number": "716-886-5493",
            "fax_number": "716-886-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-18",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.