Individual provider Active NPI

Leatha M Ross, CRNP

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1487720801
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.06909 Issued in OH
Practice address
30 W McCreight Ave Ste 110
Springfield, OH 45504-1853
Phone
(937) 523-9050
Fax
(937) 523-9059
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.06909 OH Primary

Addresses

Primary practice location

30 W McCreight Ave Ste 110
Springfield, OH 45504-1853

Mailing address

30 W McCreight Ave Ste 110
Springfield, OH 45504-1853
Phone (937) 523-9050

Other identifiers 1

IdentifierTypeStateIssuer
2346607MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181030000307 OH Practitioner - Nurse Practitioner 9234482852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Primary Care LLCGroup PAC ID 7315361359, 37 clinicians

Practice addresses (Care Compare)

1343 N Fountain Blvd
Suite 250
Springfield, OH 45504-1479
Phone (937) 523-9050

Hospital & facility affiliations

  • Community Mercy Home Care, LLC Home health agency, Springfield, OH, CCN 367447
  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.06909OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Springfield Primary Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Wright State University Student Health Services Family Past Accepting new patients

Locations

570 E Leffel Ln
Springfield, OH 45505

1343 N Fountain Blvd
Ste 250
Springfield, OH 45504
Phone (937) 328-8700

30 W McCreight Ave
Ste 110
Springfield, OH 45504
Phone (937) 399-2142

900 Scioto St
Ste 4
Urbana, OH 43078
Phone (937) 653-4666

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

Interoperability endpoints

  • Direct secure messaging: lross518171@direct.bsmhealth.org

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.

Hospital & facility affiliations 5

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1487720801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-523-9050",
            "fax_number": "937-523-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-523-9050",
            "fax_number": "937-523-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LEATHA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.06909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.