Individual provider Active NPI

Margaret Ann Leverett, RNCNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1699701615
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
N-14650 Issued in ID
Practice address
2305 Coronado Street
Idaho Falls, ID 83404
Phone
(208) 535-9009
Fax
(208) 535-9020
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X N-14650 ID Primary

Addresses

Primary practice location

2305 Coronado Street
Idaho Falls, ID 83404

Mailing address

PO Box 2426
Idaho Falls, ID 83403-2426
Phone (208) 535-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20060915000165 ID Practitioner - Nurse Practitioner 6305841800 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP233AIDMDNurse Practitioner
N-14650IDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Healthcare PLLC CurrentSince Dec 13, 2019 Accepting new patients

Locations

2990 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 535-0440

2305 Coronado St
Idaho Falls, ID 83404
Phone (208) 522-1764

2001 S Woodruff Ave
Ste 10
Idaho Falls, ID 83404
Phone (208) 206-0527

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCHJDD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1699701615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2426",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032426",
            "telephone_number": "208-535-9009",
            "fax_number": "208-535-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CORONADO STREET",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-535-9009",
            "fax_number": "208-535-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERETT",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "RNCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ID",
            "license": "N-14650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.