Individual provider Active NPI

Lilian Leanyuy

  • Primary Care Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1477809937
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R219253 Issued in MD
Practice address
4301 Northview Dr
Bowie, MD 20716-2600
Phone
(877) 707-7790
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R219253 MD
Primary Care Nurse Practitioner 363LP2300X R219253 MD Primary

Addresses

Primary practice location

4301 Northview Dr
Bowie, MD 20716-2600

Mailing address

4301 Northview Dr
Bowie, MD 20716-2600
Phone (877) 707-7790

Other practice location 1

3080 Mitchellville Rd
Bowie, MD 20716-2071
Phone (877) 707-7790

Other practice location 2

7158 Hanover Pkwy
Greenbelt, MD 20770-2005
Phone (240) 988-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20221128002898 DC Practitioner - Nurse Practitioner 0941678775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adequate Healthcare LLCGroup PAC ID 6406276369, 2 clinicians

Practice addresses (Care Compare)

4301 Northview Dr
Bowie, MD 20716-2600
Phone (877) 707-7790

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adequate Healthcare LLC Psychiatric/Mental Health CurrentSince Nov 26, 2023 Accepting new patients
Adequate Healthcare LLC CurrentSince Mar 27, 2022 Accepting new patients
Terra Health Care LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

4301 Northview Dr
Bowie, MD 20716
Phone (240) 554-7792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1477809937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162600",
            "telephone_number": "877-707-7790",
            "fax_number": "877-775-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162600",
            "telephone_number": "877-707-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 Mitchellville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162071",
            "country_code": "US",
            "telephone_number": "877-707-7790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7158 Hanover Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207702005",
            "country_code": "US",
            "telephone_number": "240-988-2048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEANYUY",
        "first_name": "LILIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R219253",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R219253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.