Individual provider Active NPI

Jon Michael Leo, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1962909101
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
301282 Issued in KY
Practice address
989 Governors LN Ste 180
Lexington, KY 40513-1174
Phone
(724) 777-3429
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 301282 KY Primary

Addresses

Primary practice location

989 Governors LN Ste 180
Lexington, KY 40513-1174

Mailing address

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 283-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211015002396 PA Practitioner - Nurse Practitioner 4486981305 Reassigns benefits to 1 organization
I20220728001915 OH Practitioner - Nurse Practitioner 4486981305 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahoning Valley Emergency Specialists LLCGroup PAC ID 5698758993, 26 clinicians
Mves Austintown LLCGroup PAC ID 1355308875, 26 clinicians
4M Emergency Systems LLCGroup PAC ID 7719882182, 29 clinicians
Mves Boardman LLCGroup PAC ID 4688694722, 36 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (240) 686-2300

6252 Mahoning Ave
Austintown, OH 44515-2003
Phone (240) 686-2300

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000

8401 Market St
Boardman, OH 44512-6725
Phone (240) 686-2300

Hospital & facility affiliations

  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301282KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Emergency Physicians Associates, Inc. CurrentSince May 10, 2023 Accepting new patients
Mves Austintown LLC CurrentSince Jul 15, 2022 Accepting new patients
Mahoning Valley Emergency Specialists LLC CurrentSince Jul 15, 2022 Accepting new patients
Butler Medical Providers Current Accepting new patients
Mves Boardman LLC CurrentSince Jul 15, 2022 Accepting new patients
Butler Medical Providers CurrentSince Sep 7, 2021 Accepting new patients
Butler Medical Providers CurrentSince Sep 7, 2021 Accepting new patients
4M Emergency Systems LLC CurrentSince Jul 15, 2022 Accepting new patients

Locations

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1950 Niles Cortland Rd NE
Warren, OH 44484
Phone (234) 600-5752

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

480 E Jefferson St
Ste B
Butler, PA 16001
Phone (724) 968-5300

1 Hospital Way
#D
Butler, PA 16001
Phone (724) 284-4550

129 Oneida Valley Rd
Ste 111
Butler, PA 16001
Phone (724) 431-4190

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

Organizations & group practices 8

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1962909101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-283-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 180",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131174",
            "telephone_number": "724-777-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "301282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.