LEAH MARIE FASOLO (APRN, ARNP) – Gerontology Nurse Practitioner, NPI 1174992739

LEAH MARIE FASOLO (APRN, ARNP) is a healthcare provider. based in Wethersfield, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, ARNP. They hold a License No. 9477790 (FL). The NPI Number for LEAH MARIE FASOLO (APRN, ARNP) is 1174992739

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LEAH MARIE FASOLO (APRN, ARNP)
NPI
1174992739
Phone
(860) 696-2400
Address
1025 Silas Deane Hwy
Enumeration Date
24 September 2015
Last Update Date
1 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393432606
Graduation Year
2015 (11 years ago)
PAC ID
2961703095
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20180921000242
Address ID
FL339124300FO13681WAYX300

Contacts

Secure Messaging
lfasolo190027@Direct.leememorial.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

4,196 NURSE PRACTITIONER in CT

Provider Addresses for LEAH MARIE FASOLO (APRN, ARNP)

  • 1025 Silas Deane Hwy

    Wethersfield, CT 061094229

    Phone: (860) 696-2400

    Type: Location

  • 13861 Plantation Rd Ste 104

    Fort Myers, FL 339124342

    Phone: (239) 225-1306

    Type: Location

  • 391 Lee Blvd Ste 300

    Lehigh Acres, FL 339364973

    Phone: (239) 369-4088

    Fax: (239) 369-0588

    Type: Location

  • 9800 S Healthpark Dr Ste 320

    Fort Myers, FL 339083630

    Phone: (239) 343-6350

    Fax: (239) 343-6358

    Type: Location

  • 9800 S HEALTHPARK DR STE 320

    FORT MYERS, FL 339083630

    Phone: (239) 343-6350

    Fax: (239) 343-6358

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-0550

    Fax: (239) 343-4013

    Type: Mailing

  • 13340 METRO PKWY STE 200

    FORT MYERS, FL 339664818

    Phone: (239) 343-0550

    Fax: (239) 343-4013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABIOMED ($124).

Total Amount

$216

General + Research + Ownership

Payments

8

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2018-09-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151215001716INurse PractitionerCTTBD
I20180921000242INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes129125$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1818$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 06109)

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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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

What federal number belongs to LEAH MARIE FASOLO (APRN, ARNP)?
The federal identifier for LEAH MARIE FASOLO (APRN, ARNP) is NPI 1174992739.
Is LEAH MARIE FASOLO (APRN, ARNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is LEAH MARIE FASOLO (APRN, ARNP)?
The page reflects Gerontology Nurse Practitioner for LEAH MARIE FASOLO (APRN, ARNP). Clinical services aligned with this taxonomy classification.
Does LEAH MARIE FASOLO (APRN, ARNP) practice in Connecticut?
You will see Wethersfield, Connecticut on file for LEAH MARIE FASOLO (APRN, ARNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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