Active NPI
Dani Nicole Leonard, PA-C
- Physician Assistant
- Mt Pleasant, MI
National Provider Identifier
1619495116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008352
- Practice address
- 4851 E Pickard St
Mt Pleasant, MI 48858-2029 - Phone
- (989) 775-1600
- NPI assigned
- Sep 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008352 | MI | Primary |
Addresses
Primary practice location
4851 E Pickard St
Mt Pleasant, MI 48858-2029
Mailing address
PO Box 2579
Midland, MI 48641-2579
Phone (989) 205-4500
Other practice location 1
300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mymichigan Medical Center Alma
Practice addresses (Care Compare)
121 N Pine River St
Ithaca, MI 48847-1039
Phone (989) 875-5111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro-Health Medical FP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Lake Orion, MI
- NPI 1740841451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1619495116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2579",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486412579",
"telephone_number": "989-205-4500",
"fax_number": "989-794-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 E PICKARD ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488582029",
"telephone_number": "989-775-1600"
}
],
"practiceLocations": [
{
"address_1": "300 E Warwick Dr",
"address_purpose": "LOCATION",
"city": "Alma",
"state": "MI",
"postal_code": "488011014",
"country_code": "US",
"telephone_number": "989-463-1101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONARD",
"first_name": "DANI",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.