MS. LEISHA A MAHONEY (CNM) – Advanced Practice Midwife, NPI 1205378452

MS. LEISHA A MAHONEY (CNM) is a healthcare provider. based in Camden, New Jersey. specializing in Advanced Practice Midwife. They hold the professional credentials CNM. They hold a License No. 25ME00060701 (NJ). The NPI Number for MS. LEISHA A MAHONEY (CNM) is 1205378452

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. LEISHA A MAHONEY (CNM)
NPI
1205378452
Phone
(856) 757-3500
Address
1600 HADDON AVE
Enumeration Date
4 November 2016
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8567573500
Graduation Year
2016 (10 years ago)
PAC ID
8224310180
Group Practice PAC ID
1557260122
Professional Enrollment ID
I20170130000929

Contacts

Secure Messaging
ljackucewicz108062@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MS. LEISHA A MAHONEY (CNM)

  • Our Lady of Lourdes Medical Center, 1600, Haddon Avenue, Parkside, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081033101

    Phone: (856) 757-3500

    Type: Location

  • 43 Main St Ste 1A

    Avon By The Sea, NJ 077171000

    Phone: (732) 776-9790

    Type: Location

  • 175 Madison Ave Fl 2

    Mount Holly, NJ 080602099

    Phone: (609) 914-6782

    Type: Location

  • 100 Bowman Dr Fl 3

    Voorhees, NJ 080439612

    Phone: (856) 247-3000

    Type: Location

  • 43 MAIN ST STE 1A

    AVON BY THE SEA, NJ 077171000

    Phone: (732) 776-9790

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-01-30

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
I20170130000929ICertified Nurse Midwife (Cnm)NJTBD

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 08103)

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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: 1557260122View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MS. LEISHA A MAHONEY (CNM) in U.S. healthcare records?
The official identifier for MS. LEISHA A MAHONEY (CNM) is NPI 1205378452.
Active or inactive — what applies to MS. LEISHA A MAHONEY (CNM)?
You should see MS. LEISHA A MAHONEY (CNM) as active in CMS-hosted NPPES data.
What expertise is attributed to MS. LEISHA A MAHONEY (CNM)?
MS. LEISHA A MAHONEY (CNM)'s specialty line reads Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. LEISHA A MAHONEY (CNM)?
Directory geography for MS. LEISHA A MAHONEY (CNM) centers on Camden, New Jersey.
When was this NPI issued?
Enumeration for MS. LEISHA A MAHONEY (CNM) is noted as November 4, 2016 where the registry provides it.

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