JACOB PATRICK LEIDHOLM (CNP) – Acute Care Nurse Practitioner, NPI 1922765197
Acute Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,871 NURSE PRACTITIONER in ME
Provider Addresses for JACOB PATRICK LEIDHOLM (CNP)
25 June St
Sanford, ME 040732621
Phone: (207) 324-4310
Type: Location
1 Medical Center Dr
Biddeford, ME 040059422
Phone: (207) 283-7937
Fax: (207) 283-7018
Type: Location
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 334-3452
Type: Location
PO BOX 415348
BOSTON, MA 022415348
Phone:
Type: Mailing
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-3452
Type: Location
22 BRAMHALL ST
PORTLAND, ME 041023134
Phone: (207) 662-4618
Fax: (207) 662-6254
Type: Mailing
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: 2023-08-22
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 |
|---|---|---|---|---|
| I20230822000798 | I | Nurse Practitioner | ME | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 18 | $0 |
Insurance plans in this area (ZIP 04073)
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Group practice members
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