Individual provider Active NPI

Leivy Reyes-Morel, CRNP

  • Nurse Practitioner
  • Hazleton, PA
National Provider Identifier
1477232403
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027762 Issued in PA
Practice address
700 E Broad St
Hazleton, PA 18201-6835
Phone
(570) 270-4455
NPI assigned
Jul 17, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP027762 PA Primary

Addresses

Primary practice location

700 E Broad St
Hazleton, PA 18201-6835

Mailing address

PO Box 778
Easton, MD 21601-8914
Phone (410) 763-8787

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
I20231002000830 PA Practitioner - Nurse Practitioner 7618321217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Inpatient Medicine Lehigh PCGroup PAC ID 7416269741, 20 clinicians

Practice addresses (Care Compare)

700 E Broad St
Hazelton, PA 18201-6835
Phone (570) 501-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
71.59
Improvement activities
40
Cost
67.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Transitional Care - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Advanced Inpatient Medicine Lehigh PC CurrentSince Aug 6, 2023 Accepting new patients
Adfinitas Health Palliative Services, LLC CurrentSince May 19, 2024 Accepting new patients

Locations

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

Organizations & group practices 3

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 6

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1477232403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018914",
            "telephone_number": "410-763-8787",
            "fax_number": "443-496-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-270-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-MOREL",
        "first_name": "LEIVY",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.