SARA LEACH (FNP-C) – Nurse Practitioner, NPI 1043080377

SARA LEACH (FNP-C) is a healthcare provider. based in Owings mills, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 301537 (AZ). The NPI Number for SARA LEACH (FNP-C) is 1043080377

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SARA LEACH (FNP-C)
NPI
1043080377
Phone
(623) 582-6420
Address
10200 GRAND CENTRAL AVE STE 220
Enumeration Date
8 January 2024
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6235826420
Graduation Year
2023 (3 years ago)
PAC ID
7618311374
Group Practice PAC ID
5092863852
Professional Enrollment ID
I20240221001643
Address ID
AZ850273969PH2902XFWYX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for SARA LEACH (FNP-C)

  • 10200 GRAND CENTRAL AVE STE 220

    OWINGS MILLS, MD 211174366

    Phone: (623) 582-6420

    Fax: (623) 582-6720

    Type: Mailing

  • 2902 W AGUA FRIA FWY STE 1000

    PHOENIX, AZ 850273969

    Phone: (623) 582-6420

    Fax: (623) 582-6720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $543.

Total Amount is formed as General ($543) + Research ($0) + Ownership ($0) = $543.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($140).

Total Amount

$543

General + Research + Ownership

Payments

21

Total payment records

General Amount

$543

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2024-02-21

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
I20240221001643INurse PractitionerAZTBD

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 21117)

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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: 5092863852View full group profile
NameSpecialtyState
U R O L O G YAZ
U R O L O G YAZ
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YMD
-AZ
Nurse PractitionerMD
Physician AssistantAZ
Physician AssistantMD
U R O L O G YAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Does SARA LEACH (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SARA LEACH (FNP-C) uses 1043080377.
Does CMS list SARA LEACH (FNP-C) as active?
Yes — SARA LEACH (FNP-C) is active in the NPI listing used on this page.
What taxonomy line describes SARA LEACH (FNP-C)?
For research purposes, treat SARA LEACH (FNP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SARA LEACH (FNP-C) based?
SARA LEACH (FNP-C) is tied to Owings Mills, Maryland in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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