Individual provider Active NPI

Andrea K Leger, NP

  • Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1760947410
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2287040 Issued in MA
Practice address
300 Birnie Ave Ste 102
Springfield, MA 01107-1375
Phone
(413) 734-4206
Fax
(413) 301-5613
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2287040 MA Primary

Addresses

Primary practice location

300 Birnie Ave Ste 102
Springfield, MA 01107-1375

Mailing address

300 Birnie Ave Ste 102
Springfield, MA 01107-1375
Phone (413) 734-4206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190510000736 MA Practitioner - Nurse Practitioner 7012250269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chestnut Medical Associates, IncGroup PAC ID 5698718245, 7 clinicians

Practice addresses (Care Compare)

300 Birnie Ave
Suite 102
Springfield, MA 01107-1121
Phone (413) 734-4206

Hospital & facility affiliations

  • Caretenders Home health agency, Holyoke, MA, CCN 227584
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Baystate Home Health Home health agency, W Springfield, MA, CCN 227011
  • Comfort Plus Caregivers LLC Home health agency, East Longmeadow, MA, CCN 227707
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2287040MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Medical Associates, Inc CurrentSince Apr 25, 2019 Accepting new patients

Locations

807 Wilbraham Rd
Springfield, MA 01109
Phone (413) 588-5104

300 Birnie Ave
Ste 102
Springfield, MA 01107
Phone (413) 734-4206

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1760947410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 102",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071375",
            "telephone_number": "413-734-4206",
            "fax_number": "413-301-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 102",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071375",
            "telephone_number": "413-734-4206",
            "fax_number": "413-301-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2287040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.