Individual provider Active NPI

Tara S Leetch, APRN

  • Nurse Practitioner
  • Albion, NE
National Provider Identifier
1487541371
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
116089 Issued in NE
Practice address
723 W Fairview St
Albion, NE 68620-1767
Phone
(402) 395-2191
Fax
(402) 395-3173
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 116089 NE Primary

Addresses

Primary practice location

723 W Fairview St
Albion, NE 68620-1767

Mailing address

PO Box 151
Albion, NE 68620-0151
Phone (402) 395-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250828000178 NE Practitioner - Nurse Practitioner 0446751820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone County Health Center 19 clinicians

Practice addresses (Care Compare)

723 W Fairview St
Albion, NE 68620-1767
Phone (402) 395-2191

Hospital & facility affiliations

  • Boone County Health Center Hospital, Albion, NE, CCN 281334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116089NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Health Center Current Accepting new patients
Boone County Health Center CurrentSince Jul 7, 2025 Accepting new patients
Boone County Health Center Nurse Practitioner CurrentSince Jul 7, 2025 Accepting new patients
Boone County Health Center Past Accepting new patients

Locations

1173 S 8th St
Albion, NE 68620
Phone (402) 395-5013

723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149

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 1

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1487541371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686200151",
            "telephone_number": "402-395-3213",
            "fax_number": "402-395-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W FAIRVIEW ST",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201767",
            "telephone_number": "402-395-2191",
            "fax_number": "402-395-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEETCH",
        "first_name": "TARA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "116089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, NE

Sources for this page

Verify at the official NPI Registry.