JENNIFER LECKY – Medical Physician Assistant, NPI 1174871735

JENNIFER LECKY is a healthcare provider. based in Miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA 9106557 (FL). The NPI Number for JENNIFER LECKY is 1174871735

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LECKY
NPI
1174871735
Phone
Not provided
Address
19540 NE 26TH AVE
Enumeration Date
29 August 2012
Last Update Date
9 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888602778
Graduation Year
2011 (15 years ago)
PAC ID
9931327459
Group Practice PAC ID
2264337021
Professional Enrollment ID
I20140826000248
Address ID
FL336129416TA12902DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JENNIFER LECKY

  • 19540 NE 26TH AVE

    MIAMI, FL 331802205

    Phone:

    Type: Mailing

  • 12550 BISCAYNE BLVD

    NORTH MIAMI, FL 331812541

    Phone: (305) 945-2411

    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: 2014-08-26

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
I20140826000248IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8482$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or4213$0
99205New patient office or other outpatient visit, 60-74 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 33180)

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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: 2264337021View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER LECKY in U.S. healthcare records?
The official identifier for JENNIFER LECKY is NPI 1174871735.
Would JENNIFER LECKY appear as active to a payer?
You can treat JENNIFER LECKY as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JENNIFER LECKY?
JENNIFER LECKY is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER LECKY?
Directory geography for JENNIFER LECKY centers on Miami, Florida.
When was this NPI issued?
Enumeration for JENNIFER LECKY is noted as August 29, 2012 where the registry provides it.

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