Individual provider Active NPI

Karilynn Michelle Leedy, CNP

  • Family Nurse Practitioner
  • Hammondsville, OH
National Provider Identifier
1801236468
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14666-NP Issued in OH
Practice address
120 Township Highway 301
Hammondsville, OH 43930-7943
Phone
(330) 679-1604
NPI assigned
Jun 27, 2013
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.14666-NP OH Primary

Addresses

Primary practice location

120 Township Highway 301
Hammondsville, OH 43930-7943

Mailing address

120 Township Highway 301
Hammondsville, OH 43930-7943
Phone (330) 679-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130826000549 OH Practitioner - Nurse Practitioner 4486897337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

575 White Pond Dr
Suite a
Akron, OH 44320-1184
Phone (330) 835-1629

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14666-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. CurrentSince Sep 17, 2017 Accepting new patients
Mobile Medical, Inc. CurrentSince Sep 17, 2017 Accepting new patients
Mobile Medical Inc Current Accepting new patients

Locations

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Interoperability endpoints

  • Direct secure messaging: karilynn.leedy.p19@direct.360care.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1801236468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TOWNSHIP HIGHWAY 301",
            "city": "HAMMONDSVILLE",
            "state": "OH",
            "postal_code": "439307943",
            "telephone_number": "330-679-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TOWNSHIP HIGHWAY 301",
            "city": "HAMMONDSVILLE",
            "state": "OH",
            "postal_code": "439307943",
            "telephone_number": "330-679-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDY",
        "first_name": "KARILYNN",
        "middle_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14666-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammondsville, OH

Sources for this page

Verify at the official NPI Registry.