ZHANAR M LEIB (PA-C) – Physician Assistant, NPI 1184000630
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for ZHANAR M LEIB (PA-C)
1301 PALM AVE
JACKSONVILLE, FL 322078432
Phone: (904) 202-7300
Fax: (904) 202-7433
Type: Location
PO BOX 45278
JACKSONVILLE, FL 322325278
Phone: (904) 202-2092
Fax: (904) 393-7603
Type: Mailing
1301 Palm Ave
Jacksonville, FL 322078432
Phone: (904) 202-7300
Fax: (904) 202-7433
Type: Location
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 809073597
Phone: (719) 373-9703
Fax: (877) 588-3465
Type: Mailing
1971 E 4TH ST STE 200
SANTA ANA, CA 927053917
Phone: (888) 959-5192
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20161020000581 | I | Physician Assistant | DC | TBD |
| I20161114000766 | I | Physician Assistant | VA | TBD |
| I20200825001560 | I | Physician Assistant | FL | TBD |
| I20251008003352 | I | Physician Assistant | CO | 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 32207)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CO | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| - | AZ | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Clinical Psychologist | CO | |
| Nurse Practitioner | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.