MRS. LYNIETA LYNN LEISURE (ARNP) – Family Nurse Practitioner, NPI 1174555064

MRS. LYNIETA LYNN LEISURE (ARNP) is a healthcare provider. based in Fort scott, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 45086 (KS). The NPI Number for MRS. LYNIETA LYNN LEISURE (ARNP) is 1174555064

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LYNIETA LYNN LEISURE (ARNP)
NPI
1174555064
Phone
(620) 223-8655
Address
2144 IRONSTONE DR
Enumeration Date
7 July 2006
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393432606
Graduation Year
2000 (26 years ago)
PAC ID
4082646609
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20230109002962
Address ID
FL339124300FO13681WAYX300

Contacts

Secure Messaging
lleisure673840@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MRS. LYNIETA LYNN LEISURE (ARNP)

  • 2144 IRONSTONE DR

    FORT SCOTT, KS 667018521

    Phone: (620) 223-8655

    Fax: (620) 224-2095

    Type: Mailing

  • 403 WOODLAND HILLS BLVD

    FORT SCOTT, KS 667018798

    Phone: (620) 223-8402

    Type: Location

  • 415 E Hallandale Beach Blvd

    Hallandale Beach, FL 330095528

    Phone: (954) 457-4333

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 424-2602

    Fax: (239) 424-4186

    Type: Mailing

  • 13681 DOCTORS WAY STE 300

    FORT MYERS, FL 339124300

    Phone: (239) 424-2602

    Fax: (239) 424-4186

    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: 2023-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050905000015INurse PractitionerKSTBD
I20230109002962INurse PractitionerFLTBD

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 minutes4646$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
96372Injection of drug or substance under skin or into muscle2018$0
View full utilization report →

Insurance plans in this area (ZIP 66701)

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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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

What is the registry number for MRS. LYNIETA LYNN LEISURE (ARNP)?
The registry entry for MRS. LYNIETA LYNN LEISURE (ARNP) shows NPI 1174555064.
Quick check: is MRS. LYNIETA LYNN LEISURE (ARNP) active?
Public NPPES data shows MRS. LYNIETA LYNN LEISURE (ARNP) with an active NPI status right now.
What type of care does MRS. LYNIETA LYNN LEISURE (ARNP) provide?
MRS. LYNIETA LYNN LEISURE (ARNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. LYNIETA LYNN LEISURE (ARNP)?
MRS. LYNIETA LYNN LEISURE (ARNP) is associated with Fort Scott, Kansas in the same public data insurers reference.
Why is information missing for MRS. LYNIETA LYNN LEISURE (ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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