ALEXANDRA B LEIS (NP-C) – Family Nurse Practitioner, NPI 1083099741

ALEXANDRA B LEIS (NP-C) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 3009450 (KY). The NPI Number for ALEXANDRA B LEIS (NP-C) is 1083099741

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA B LEIS (NP-C)
NPI
1083099741
Phone
(502) 585-5249
Address
310 E BROADWAY STE 200
Enumeration Date
23 July 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8129447500
Graduation Year
2015 (11 years ago)
PAC ID
4385950088
Group Practice PAC ID
5991116261
Professional Enrollment ID
I20150826000315
Address ID
KY402021745LO310XXBROA304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for ALEXANDRA B LEIS (NP-C)

  • 310 E BROADWAY STE 200

    LOUISVILLE, KY 402021745

    Phone: (502) 585-5249

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,357.

Total Amount is formed as General ($1,357) + Research ($0) + Ownership ($0) = $1,357.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($330).

Total Amount

$1,357

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2015-08-26

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
I20150826000315INurse PractitionerKYTBD

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
17003Destruction of precancer skin growth, 2-14 growths34671$0
99213Established patient office or other outpatient visit, 20-29 minutes261192$0
11102Biopsy of related skin growth, first growth125112$0
17000Destruction of precancer skin growth, 1 growth11499$0
17110Destruction of skin growth, 1-14 growths7248$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 5991116261View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Nurse PractitionerIL
Nurse PractitionerKY
Physician AssistantIN
D E R M A T O L O G YMI
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YPA
Physician AssistantIL
D E R M A T O L O G YPA

Reviews

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Frequently asked questions

What is ALEXANDRA B LEIS (NP-C)'s NPI number?
ALEXANDRA B LEIS (NP-C)'s NPI is 1083099741 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ALEXANDRA B LEIS (NP-C)?
You should see ALEXANDRA B LEIS (NP-C) as active in CMS-hosted NPPES data.
What expertise is attributed to ALEXANDRA B LEIS (NP-C)?
ALEXANDRA B LEIS (NP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALEXANDRA B LEIS (NP-C)?
Travel planning: use Louisville, Kentucky as the reference point for ALEXANDRA B LEIS (NP-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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