Individual provider Active NPI

Leanne J Kocemba, NP

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1922435684
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7328 Issued in AZ
Practice address
5430 Landmark LN
Prescott, AZ 86301-0019
Phone
(928) 775-9430
Fax
(928) 775-9431
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 AP7328 AZ Primary

Addresses

Primary practice location

5430 Landmark LN
Prescott, AZ 86301-0019

Mailing address

PO Box 910221
Dallas, TX 75391-5999
Phone (520) 519-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20141213000349 AZ Practitioner - Nurse Practitioner 9234364043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Oncology Associates PCGroup PAC ID 9638067911, 42 clinicians

Practice addresses (Care Compare)

3188 N Windsong Dr a
Prescott Valley, AZ 86314-1220
Phone (928) 775-9430

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC CurrentSince Jul 1, 2020 Accepting new patients

Locations

5430 Landmark Ln
Prescott, AZ 86301
Phone (928) 775-9430

3188 N Windsong Dr
Ste A
Prescott Valley, AZ 86314
Phone (928) 775-9430

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

Interoperability endpoints

  • Direct secure messaging: leanne.kocemba@aoa.ikm.direct-ci.com

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 3

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1922435684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753915999",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 LANDMARK LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010019",
            "telephone_number": "928-775-9430",
            "fax_number": "928-775-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCEMBA",
        "first_name": "LEANNE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.