IVELISSE E LEONOR (FAMILY NURSE PRACTIO) – Family Nurse Practitioner, NPI 1104146042

IVELISSE E LEONOR (FAMILY NURSE PRACTIO) is a healthcare provider. based in Saint joseph, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FAMILY NURSE PRACTIO. They hold a License No. 28162828A (IN). The NPI Number for IVELISSE E LEONOR (FAMILY NURSE PRACTIO) is 1104146042

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
IVELISSE E LEONOR (FAMILY NURSE PRACTIO)
NPI
1104146042
Phone
(269) 985-4632
Address
1234 NAPIER AVE
Enumeration Date
2 June 2010
Last Update Date
1 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696835510
Graduation Year
2010 (16 years ago)
PAC ID
5799809950
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20120801000299
Address ID
MI491202207NI31XXXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:16State licenses:3Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for IVELISSE E LEONOR (FAMILY NURSE PRACTIO)

  • 1234 NAPIER AVE

    SAINT JOSEPH, MI 490852112

    Phone: (269) 985-4632

    Fax: (269) 985-4523

    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 35 Open Payments records for all available years, with a total value of $784.

Total Amount is formed as General ($784) + Research ($0) + Ownership ($0) = $784.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($420).

Total Amount

$784

General + Research + Ownership

Payments

35

Total payment records

General Amount

$784

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2012-08-01

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
I20120801000299INurse PractitionerMITBD

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 minutes435284$0
51798Ultrasound measurement of bladder capacity after voiding147116$0
81003Automated urinalysis test9579$0
99214Established patient office or other outpatient visit, 30-39 minutes5952$0
51702Simple insertion of temporary bladder tube3311$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is the registry number for IVELISSE E LEONOR (FAMILY NURSE PRACTIO)?
The registry entry for IVELISSE E LEONOR (FAMILY NURSE PRACTIO) shows NPI 1104146042.
Is IVELISSE E LEONOR (FAMILY NURSE PRACTIO)'s NPI status active today?
Active status means IVELISSE E LEONOR (FAMILY NURSE PRACTIO)'s NPI record is not deactivated in the public file.
Which specialty label fits IVELISSE E LEONOR (FAMILY NURSE PRACTIO)?
NPPES ties IVELISSE E LEONOR (FAMILY NURSE PRACTIO) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to IVELISSE E LEONOR (FAMILY NURSE PRACTIO)?
The directory associates IVELISSE E LEONOR (FAMILY NURSE PRACTIO) with Saint Joseph, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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