ALLYN EDGAR JOSEPH LEBLANC (N.P.) – Nurse Practitioner, NPI 1376732685
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for ALLYN EDGAR JOSEPH LEBLANC (N.P.)
PO BOX 232410
SAN DIEGO, CA 921932410
Phone: (800) 926-8273
Fax: (888) 539-8781
Type: Mailing
UC San Diego Medical Center, 200, West Arbor Drive, Hillcrest, San Diego, San Diego County, California, 92103, United States
SAN DIEGO, CA 921039000
Phone: (800) 926-8273
Fax: (888) 539-8781
Type: Location
1111 E McDowell Rd
Phoenix, AZ 850062612
Phone: (602) 239-4601
Type: Location
9130 E Elliot Rd
Mesa, AZ 852129675
Phone: (480) 728-4493
Fax: (602) 212-4806
Type: Location
1955 W Frye Rd
Chandler, AZ 852246282
Phone: (480) 728-3000
Fax: (602) 230-6461
Type: Location
200 W Arbor Dr
San Diego, CA 921039000
Phone: (800) 926-8273
Fax: (888) 539-8781
Type: Location
13400 E SHEA BLVD
SCOTTSDALE, AZ 852595452
Phone: (480) 301-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090911000302 | I | Nurse Practitioner | AZ | TBD |
| I20170927002236 | I | Nurse Practitioner | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92193)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Physician Assistant | AZ | |
| Physician Assistant | CO | |
| Physician Assistant | NC | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Emergency Medicine | AZ |
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