Jacqueline Ellen Leyrer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10302 Issued in NC

Practice address

15830 Ballantyne Medical PL
Charlotte, NC 28277-4653

Phone

(704) 341-0090

NPI assigned

Jul 29, 2020

Last updated

Sep 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Care of Charlotte PAGroup PAC ID 7911906151, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dermatology Care of Charlotte, PA

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1639195126
  Medicare reassignment Care Compare group
• Charlotte Dermatology PA

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1265477251
  Medicare reassignment NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1902415532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774653",
            "telephone_number": "704-341-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774653",
            "telephone_number": "704-341-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYRER",
        "first_name": "JACQUELINE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Davis Lewis
• Wendy Payne Lewis, A.N.P.
• Lexana Counseling Services, PLLC
• Mark Stephen Leyhe, PT, DPT
• Christy Ann Leyland, CPNP-AC
• LHH Cap Services
• Chao Li, MD
• Meng Li, MD
• Shuxin Li, MD
• Xiaohua Li, MD

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.