LEAH DIANE CLARK (ARNP) – Nurse Practitioner, NPI 1588616858
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for LEAH DIANE CLARK (ARNP)
14715 TALL TREE DR
LUTZ, FL 335593246
Phone: (813) 877-2200
Fax: (813) 984-2495
Type: Mailing
PO BOX 198441
ATLANTA, GA 303848441
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Mailing
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Location
3010, West Azeele Street, Palma Ceia Pines, West Tampa, Tampa, Hillsborough County, Florida, 33609, United States
TAMPA, FL 336093139
Phone: (813) 877-2200
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: 2007-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070914000296 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 221 | 144 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 71 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 46 | $0 |
Insurance plans in this area (ZIP 33559)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | VA | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| N E U R O S U R G E R Y | FL |
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