MARY E. LEAHY (APRN) – Family Nurse Practitioner, NPI 1669496113

MARY E. LEAHY (APRN) is a healthcare provider. based in Avon, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 002626 (CT). The NPI Number for MARY E. LEAHY (APRN) is 1669496113

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MARY E. LEAHY (APRN)
NPI
1669496113
Phone
(860) 409-1507
Address
35 NOD RD STE 205
Enumeration Date
27 July 2006
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8608664321
Graduation Year
1995 (31 years ago)
PAC ID
3971517772
Group Practice PAC ID
5193966893
Professional Enrollment ID
I20060201000160
Address ID
CT067903963TO1171XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for MARY E. LEAHY (APRN)

  • 35 NOD RD STE 205

    AVON, CT 060013826

    Phone: (860) 409-1507

    Fax: (860) 409-1944

    Mailing address matches the actual address.

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: 2006-02-01

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
I20060201000160INurse PractitionerCTTBD

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 minutes8470$0
99213Established patient office or other outpatient visit, 20-29 minutes8172$0
99204New patient office or other outpatient visit, 45-59 minutes5959$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen5049$0
View full utilization report →

Insurance plans in this area (ZIP 06001)

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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: 5193966893View full group profile
NameSpecialtyState
-CT
Physician AssistantCT
Physician AssistantCT
Family PracticeVA
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
-CT
Emergency MedicineCT
-FL

Reviews

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Frequently asked questions

Where can patients find MARY E. LEAHY (APRN)'s NPI?
You can confirm MARY E. LEAHY (APRN) with NPI 1669496113; it appears in the national provider directory.
Is MARY E. LEAHY (APRN)'s NPI currently valid?
The extract we use shows MARY E. LEAHY (APRN) as active.
What kind of provider is MARY E. LEAHY (APRN)?
The page reflects Family Nurse Practitioner for MARY E. LEAHY (APRN). Clinical services aligned with this taxonomy classification.
Where is MARY E. LEAHY (APRN)'s primary listing?
We display Avon, Connecticut because that is what the record indicates for MARY E. LEAHY (APRN).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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