Active NPI
Jessie Fuentes Leonard, CRNP
- Family Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R205536
- Practice address
- 1401 Roosevelt Ave
York, PA 17404 - Phone
- (717) 812-7000
- Fax
- (717) 767-8985
- NPI assigned
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP013065 | PA | |
| Family Nurse Practitioner | 363LF0000X | R205536 | MD | Primary |
Addresses
Primary practice location
1401 Roosevelt Ave
York, PA 17404
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
Other practice location 1
605 S George St
Suite 200
York, PA 17401-3160
Phone (717) 851-2334
Other practice location 2
605 S George St
Suite 200
York, PA 17401-3160
Phone (717) 851-2334
Other practice location 3
14A Mount Carmel Rd
Parkton, MD 21120-9721
Phone (443) 491-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3002240 | Other | PA | HIGHMARK BLUE SHIELD-FREEDOM BLUE |
Other names 1
- Jessie Ondina Fuentes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130924000077 | PA | Practitioner - Nurse Practitioner | 4880838341 | Reassigns benefits to 1 organization |
| I20180124000369 | MD | Practitioner - Nurse Practitioner | 4880838341 | Reassigns benefits to 1 organization |
| I20180124000816 | DC | Practitioner - Nurse Practitioner | 4880838341 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 Newport Dr
Forest Hill, MD 21050-1758
14 A Mount Carmel Rd
Parkton, MD 21120-9721
Phone (410) 337-4877
Hospital & facility affiliations
- Amedisys Home Health
- University of MD St Joseph Medical Center
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
14A Mount Carmel Rd
Parkton, MD 21120
Phone (410) 357-9283
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334
Interoperability endpoints
- jleonard1027746@direct.umm.edu
Organizations & group practices 8
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.
-
- General Practice Physician
- Towson, MD
- NPI 1770836785
MD
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Neurology Physician
- Chambersburg, PA
- NPI 1407431588
-
- Surgical Assistant
- Towson, MD
- NPI 1053816074
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rosedale, MD
- NPI 1548229834
-
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1487087664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 ROOSEVELT AVE",
"city": "YORK",
"state": "PA",
"postal_code": "17404",
"telephone_number": "717-812-7000",
"fax_number": "717-767-8985"
}
],
"practiceLocations": [
{
"address_1": "605 S George St",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174013160",
"country_code": "US",
"telephone_number": "717-851-2334",
"fax_number": "717-851-3498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 S George St",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174013160",
"country_code": "US",
"telephone_number": "717-851-2334",
"fax_number": "717-851-3498",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14A Mount Carmel Rd",
"address_purpose": "LOCATION",
"city": "Parkton",
"state": "MD",
"postal_code": "211209721",
"country_code": "US",
"telephone_number": "443-491-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONARD",
"first_name": "JESSIE",
"middle_name": "FUENTES",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013065",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R205536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD-FREEDOM BLUE",
"identifier": "3002240",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSIE",
"last_name": "FUENTES",
"middle_name": "ONDINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.