NPIMap

Individual provider Active NPI

Anastasia Leedom, PA-C

  • Physician Assistant
  • Sellersville, PA
National Provider Identifier
1477276731
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063925 Issued in PA
Practice address
3 Life Mark Dr Ste D
Sellersville, PA 18960-1598
Phone
(215) 257-1127
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063925 PA Primary

Addresses

Primary practice location

3 Life Mark Dr Ste D
Sellersville, PA 18960-1598

Mailing address

3 Life Mark Dr Ste D
Sellersville, PA 18960-1598
Phone (484) 257-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010002932 PA Practitioner - Physician Assistant 7315323656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

3 Life Mark Dr
Sellersville, PA 18960-1598
Phone (484) 503-4500

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA063925PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital CurrentSince Aug 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2022 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2022 Accepting new patients
Grand View Hospital CurrentSince Aug 1, 2024 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2545 Schoenersville Rd
Fl 2
Bethlehem, PA 18017
Phone (484) 884-5666

419 S Broad St
Ste 4
Lansdale, PA 19446
Phone (267) 429-2561

1532 Park Ave
Ste 105
Quakertown, PA 18951
Phone (267) 424-8100

3 Life Mark Dr
Ste D
Sellersville, PA 18960
Phone (215) 257-1127

700 Lawn Ave
Fl 2
Sellersville, PA 18960

3 Life Mark Dr
Sellersville, PA 18960
Phone (215) 257-1127

Interoperability endpoints

  • Direct secure messaging: amarciello264557@direct-sluhn.org

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1477276731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LIFE MARK DR STE D",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601598",
            "telephone_number": "484-257-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LIFE MARK DR STE D",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601598",
            "telephone_number": "215-257-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDOM",
        "first_name": "ANASTASIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.