Individual provider Active NPI

Zane D Leicht, PA-C

  • Physician Assistant
  • Erie, PA
National Provider Identifier
1649863325
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062088 Issued in PA
Practice address
2315 Myrtle St Ste L90
Erie, PA 16502-4607
Phone
(814) 452-7575
NPI assigned
Feb 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA062088 PA Primary

Addresses

Primary practice location

2315 Myrtle St Ste L90
Erie, PA 16502-4607

Mailing address

2315 Myrtle St Ste L90
Erie, PA 16502-4607
Phone (814) 452-7575

Other identifiers 1

IdentifierTypeStateIssuer
15126273OtherCAQH

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
I20210312001030 PA Practitioner - Physician Assistant 7911313176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

1001 9TH Ave
Brackenridge, PA 15014-1107
Phone (412) 359-8850

232 W 25TH St
Ahn Neurology
Erie, PA 16544-0002
Phone (412) 359-8850

2861 W 26TH St
Suite 1
Erie, PA 16506-3064
Phone (814) 480-7760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as group
Quality
90.53
Promoting interoperability
100
Improvement activities
40
Cost
77.62

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 4, 2024 Accepting new patients
Allegheny Clinic CurrentSince Jan 4, 2024 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1001 9th Ave
Brackenridge, PA 15014

2315 Myrtle St
Ste L90
Erie, PA 16502
Phone (814) 452-7575

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Organizations & group practices 7

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1649863325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE L90",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024607",
            "telephone_number": "814-452-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICHT",
        "first_name": "ZANE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-15",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15126273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.