LEAH MARIE MCDERMOTT (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1548081953

LEAH MARIE MCDERMOTT (AGACNP-BC) is a healthcare provider. based in Kennebunkport, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. CNP241413 (ME). The NPI Number for LEAH MARIE MCDERMOTT (AGACNP-BC) is 1548081953

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LEAH MARIE MCDERMOTT (AGACNP-BC)
NPI
1548081953
Phone
(973) 294-2307
Address
17 LILAC LN
Enumeration Date
18 October 2024
Last Update Date
3 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078613000
Graduation Year
2024 (2 years ago)
PAC ID
8325574387
Group Practice PAC ID
1759621469
Professional Enrollment ID
I20241213001650
Address ID
ME049014526WA200XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for LEAH MARIE MCDERMOTT (AGACNP-BC)

  • 17 LILAC LN

    KENNEBUNKPORT, ME 040465266

    Phone: (973) 294-2307

    Type: Mailing

  • 50 UNION ST

    ELLSWORTH, ME 046051534

    Phone: (207) 664-5311

    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: 2024-12-13

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
I20241213001650INurse PractitionerMETBD

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 04046)

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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: 1759621469View full group profile
NameSpecialtyState
Internal MedicineNY
-ME
Family PracticeWY
Internal Medicine, HospitalistNC
Physician AssistantMT
-ME
Physician AssistantKY
Internal MedicineNY
Nurse PractitionerNY
Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify LEAH MARIE MCDERMOTT (AGACNP-BC) with an NPI only?
You can start verification with NPI 1548081953 for LEAH MARIE MCDERMOTT (AGACNP-BC), then check state licensing separately.
Does CMS list LEAH MARIE MCDERMOTT (AGACNP-BC) as active?
Yes — LEAH MARIE MCDERMOTT (AGACNP-BC) is active in the NPI listing used on this page.
What is LEAH MARIE MCDERMOTT (AGACNP-BC)'s specialty?
The listing groups LEAH MARIE MCDERMOTT (AGACNP-BC) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect LEAH MARIE MCDERMOTT (AGACNP-BC) on a map?
Expect Kennebunkport, Maine as a primary anchor for LEAH MARIE MCDERMOTT (AGACNP-BC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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