KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) – Nurse Practitioner, NPI 1114568870

KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) is a healthcare provider. based in Corydon, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C CST CNOR RNFA. They hold a License No. A168677 (IA). The NPI Number for KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) is 1114568870

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA)
NPI
1114568870
Phone
(641) 872-2260
Address
417 S EAST ST
Enumeration Date
3 October 2019
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6418722063
Graduation Year
2022 (4 years ago)
PAC ID
6406230267
Group Practice PAC ID
4082508734
Professional Enrollment ID
I20220829002857
Address ID
IA500601860CO417XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA)

  • 417 S EAST ST

    CORYDON, IA 500601835

    Phone: (641) 872-2260

    Type: Location

  • North Butler Street, Corydon, Wayne County, Iowa, 50060, United States

    CORYDON, IA 500601323

    Phone: (641) 203-3251

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,376.

Total Amount is formed as General ($1,376) + Research ($0) + Ownership ($0) = $1,376.

Last reported payment date: 2024-03-02 • Largest payer in this snapshot: Axonics, Inc. ($1,376).

Total Amount

$1,376

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axonics, Inc.$1,376
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: 2022-08-29

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
I20220829002857INurse PractitionerIATBD

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 50060)

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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: 4082508734View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IA
-IA
Physician AssistantLA
Family PracticeCA
Physician AssistantIA
Family PracticeIA
General SurgeryMO
Family PracticeNV
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA

Reviews

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Frequently asked questions

What number should I use to identify KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) for billing?
Administrative and clinical systems typically use NPI 1114568870 for KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA).
Is KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA)'s NPI status active today?
Active status means KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA)'s NPI record is not deactivated in the public file.
What does the directory say KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) does?
Insurance directories may phrase it differently, but here KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) tied to Corydon, Iowa?
If you are local to Corydon, Iowa, KELCEY DIANE LEOPARD (FNP-C CST CNOR RNFA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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