LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) – Family Nurse Practitioner, NPI 1487176764

LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) is a healthcare provider. based in Mountain home, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, NP-C APRN. They hold a License No. A005203 (AR). The NPI Number for LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) is 1487176764

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN)
NPI
1487176764
Phone
(870) 425-8288
Address
PO BOX 1254
Enumeration Date
8 July 2017
Last Update Date
25 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8707014090
Graduation Year
2017 (9 years ago)
PAC ID
0547534158
Group Practice PAC ID
3476945528
Professional Enrollment ID
I20170920003397
Address ID
AR726538102MO15XXXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN)

  • 1254, County Road 643, Mountain Home, Baxter County, Arkansas, 72653, United States

    MOUNTAIN HOME, AR 726541254

    Phone: (870) 425-8288

    Type: Mailing

  • 555, West 6th Street, Mountain Home, Baxter County, Arkansas, 72653, United States

    MOUNTAIN HOME, AR 726533409

    Phone: (870) 425-8288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,123.

Total Amount is formed as General ($1,123) + Research ($0) + Ownership ($0) = $1,123.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($196).

Total Amount

$1,123

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170920003397INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days1,469485$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days1,225404$0
99214Established patient office or other outpatient visit, 30-39 minutes718546$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report375278$0
99213Established patient office or other outpatient visit, 20-29 minutes303284$0
View full utilization report →

Insurance plans in this area (ZIP 72654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476945528View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Nuclear Medicine, Peripheral Vascular DiseaseAR
Cardiovascular Disease (Cardiology), Internal MedicineAR
Cardiovascular Disease (Cardiology)AR
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)AR
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseAR
Nurse PractitionerAR
Cardiovascular Disease (Cardiology)NY
Internal Medicine, Cardiovascular Disease (Cardiology)AR
U R O L O G YAR

Reviews

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Frequently asked questions

Is LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) listed with a National Provider Identifier?
Yes — LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) has NPI 1487176764 on file in the registry.
Would LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) appear as active to a payer?
You can treat LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN)'s focus?
For LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) located near Mountain Home?
LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) currently maps to Mountain Home, Arkansas in this extract.
When was this NPI issued?
Enumeration for LEAH DANIELLE FOUNTAIN (MSN, NP-C APRN) is noted as July 8, 2017 where the registry provides it.

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