LEAH ANDERSON – Gerontology Nurse Practitioner, NPI 1679024541

LEAH ANDERSON is a healthcare provider. based in Hartford, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 12.006741 (CT). The NPI Number for LEAH ANDERSON is 1679024541

Main info

Female
Sole Proprietor
14 Years Of Experience
Name
LEAH ANDERSON
NPI
1679024541
Phone
(860) 637-3269
Address
185 ASYLUM ST
Enumeration Date
17 October 2016
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034973861
Graduation Year
2012 (14 years ago)
PAC ID
5193092666
Group Practice PAC ID
0941562664
Professional Enrollment ID
I20171009003482
Address ID
CT064773649OR240XXRDXX407
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:9State licenses:5Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for LEAH ANDERSON

  • 185 ASYLUM ST

    HARTFORD, CT 061033408

    Phone: (860) 637-3269

    Fax: (888) 832-6121

    Type: Mailing

  • 400 CAPITAL BLVD

    ROCKY HILL, CT 060673576

    Phone: (860) 637-3269

    Fax: (888) 832-6121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($125).

Total Amount

$271

General + Research + Ownership

Payments

3

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-10-09

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
I20171009003482INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06103)

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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: 0941562664View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerTX
Nurse PractitionerCT
Nurse PractitionerPA
Nurse PractitionerCT
-CT
-CT
-CT

Reviews

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Frequently asked questions

Is LEAH ANDERSON listed with a National Provider Identifier?
Yes — LEAH ANDERSON has NPI 1679024541 on file in the registry.
Is there an active status for LEAH ANDERSON?
For scheduling context, LEAH ANDERSON is shown as active in the registry.
What expertise is attributed to LEAH ANDERSON?
LEAH ANDERSON's specialty line reads Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LEAH ANDERSON?
Travel planning: use Hartford, Connecticut as the reference point for LEAH ANDERSON, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.