Individual provider Active NPI

Sara Michelle Leis, CRNP

  • Family Nurse Practitioner
  • Mercersburg, PA
National Provider Identifier
1538522115
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016079 Issued in PA
Practice address
2 Keefer Dr
Mercersburg, PA 17236-1732
Phone
(717) 328-2119
Fax
(717) 328-0071
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 SP016079 PA Primary

Addresses

Primary practice location

2 Keefer Dr
Mercersburg, PA 17236-1732

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

830 5th Ave
Suite 102
Chambersburg, PA 17201-4224
Phone (717) 709-7979

Other practice location 2

354 Alexander Spring Rd
Carlisle, PA 17015-7451
Phone (717) 477-2764

Other practice location 3

46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
Phone (717) 532-4148

Other practice location 4

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5085

Other practice location 5

3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Phone (717) 264-3644

Other practice location 6

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-6250

Other practice location 7

2055 Scotland Ave
Chambersburg, PA 17201-1451
Phone (717) 217-6055

Other practice location 8

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

Other practice location 9

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 264-6511

Other practice location 10

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512

Other identifiers 1

IdentifierTypeStateIssuer
103160646MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160426000054 PA Practitioner - Nurse Practitioner 6305145384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

46 Walnut Bottom Rd
Shippensburg, PA 17257-8219

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016079PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Good Samaritan Physician Services Current Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Keystone Rural Health Center CurrentSince Apr 15, 2016 Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Keystone Rural Health Center CurrentSince Apr 15, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

354 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 217-6870

1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

830 5th Ave
Ste 102
Chambersburg, PA 17201
Phone (717) 217-6911

830 5th Ave
Ste 103
Chambersburg, PA 17201
Phone (717) 263-0550

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone 71770979227985

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

3106 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3644

2055 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-4963

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115

46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: sleis227331@wellspan.direct-ci.com

Organizations & group practices 10

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 11

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1538522115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "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": "2 KEEFER DR",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361732",
            "telephone_number": "717-328-2119",
            "fax_number": "717-328-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 5th Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014224",
            "country_code": "US",
            "telephone_number": "717-709-7979",
            "fax_number": "717-709-7980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-532-4148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3106 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172018938",
            "country_code": "US",
            "telephone_number": "717-264-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-356-6250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011451",
            "country_code": "US",
            "telephone_number": "717-217-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014229",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-264-6511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIS",
        "first_name": "SARA",
        "middle_name": "MICHELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103160646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercersburg, PA

Sources for this page

Verify at the official NPI Registry.