Jill Elizabeth Leblanc, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114533 Issued in FL

Practice address

418 West Monroe Avenue
Chester, MT 59522

Phone

(406) 759-5194

Fax

(406) 759-5105

NPI assigned

Jul 7, 2010

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, FL, KY3 enrollments

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 3

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emergency Physicians of Central Florida LLP

  • Emergency Medicine Physician
  • Orlando, FL
  • NPI 1326033341
  Medicare reassignment NPD
• Beaver Creek Emergency Group LLC

  • Emergency Medicine Physician
  • Martin, KY
  • NPI 1689165904
  Medicare reassignment
• Cross Lake Emergency Group, LLC

  • Emergency Medicine Physician
  • Shreveport, LA
  • NPI 1013497114
  Medicare reassignment
• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739
  Medicare reassignment
• Hyden Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Hyden, KY
  • NPI 1497036776
  Medicare reassignment
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  Medicare reassignment
• Melbourne Emergency Group, LLC

  • Emergency Medicine Physician
  • Melbourne, FL
  • NPI 1932562915
  Medicare reassignment
• Rockledge Emergency Group LLC

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1306200522
  Medicare reassignment
• Southern Medical Partners, LLC

  • Emergency Medicine Physician
  • Hazard, KY
  • NPI 1538109962
  Medicare reassignment

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1821300849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "CHESTER",
            "state": "MT",
            "postal_code": "595220705",
            "telephone_number": "406-759-5194",
            "fax_number": "406-759-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WEST MONROE AVENUE",
            "city": "CHESTER",
            "state": "MT",
            "postal_code": "59522",
            "telephone_number": "406-759-5194",
            "fax_number": "406-759-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005862",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2985",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "005862",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel P Davis, MD
• Katelyn Michelle Graff
• Integrated Sleep Consulting
• Richard Kozakiewicz, M.D.
• Karla Jean Kulpas, RN
• Liberty County (Liberty County Public Health)
• Liberty County (LIberty County Ambulance)
• Liberty County Hospital & Nursing Home Inc (Logan Health Assisted Living - Chester)
• Liberty County Hospital and Nursing Home Inc (Logan Health - Chester)
• Liberty County Hospital and Nursing Home, Inc (Logan Health Rural Health Clinic- Chester)

• Physician Assistant in Chester, MT
• Providers in Chester, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.