NPIMap

Individual provider Active NPI

Mary Katherine Leesnitzer

  • Advanced Practice Midwife
  • Charlotte, NC
National Provider Identifier
1730957572
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
4815 Johnston Oehler Rd Ste 200
Charlotte, NC 28269-1065
Phone
(704) 801-7410
NPI assigned
Dec 12, 2023
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

4815 Johnston Oehler Rd Ste 200
Charlotte, NC 28269-1065

Mailing address

4815 Johnston Oehler Rd Ste 200
Charlotte, NC 28269-1065
Phone (704) 801-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725003736 NC Practitioner - Certified Nurse Midwife (CNM) 7012453079 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

4815 Johnston Oehler Rd
Suite 200
Charlotte, NC 28269-1065
Phone (704) 801-7410

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Aug 12, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Aug 12, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 12, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 12, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 12, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Atrium Health North Market Network LLC CurrentSince Aug 12, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 12, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Aug 12, 2024 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 2320
Charlotte, NC 28262
Phone (704) 547-0858

101 E Wt Harris Blvd
Ste 5301
Charlotte, NC 28262
Phone (704) 548-1671

1025 Morehead Medical Dr
Ste 400
Charlotte, NC 28204

1025 Morehead Medical Dr
Ste 450
Charlotte, NC 28204
Phone (704) 446-7800

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

4815 Johnston Oehler Rd
#200
Charlotte, NC 28269
Phone (704) 801-7410

9908 Couloak Dr
Ste 201
Charlotte, NC 28216
Phone (704) 801-2075

10030 Edison Square Dr NW
#100A
Concord, NC 28027
Phone (704) 403-7670

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

409 Olin Way
Ste 2200
Denver, NC 28037
Phone (704) 801-7300

446 NC 108 Hwy
Rutherfordton, NC 28139
Phone (828) 287-7383

Interoperability endpoints

  • Direct secure messaging: mgregory507563@direct.novanthealth.org
  • Direct secure messaging: mleesnitzer389510@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1730957572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 JOHNSTON OEHLER RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691065",
            "telephone_number": "704-801-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 JOHNSTON OEHLER RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691065",
            "telephone_number": "704-801-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESNITZER",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.