MS. LEAH REBBECA STALLWORTH (APRN) – Registered Nurse, NPI 1003138314

MS. LEAH REBBECA STALLWORTH (APRN) is a healthcare provider. based in Euclid, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 0029728 (OH). The NPI Number for MS. LEAH REBBECA STALLWORTH (APRN) is 1003138314

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. LEAH REBBECA STALLWORTH (APRN)
NPI
1003138314
Phone
(216) 243-5589
Address
19530 EUCLID AVE
Enumeration Date
1 March 2010
Last Update Date
30 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168316611
Graduation Year
2020 (6 years ago)
PAC ID
4486034048
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20220629002242
Address ID
OH441225694BE25101BLVD302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MS. LEAH REBBECA STALLWORTH (APRN)

  • 19530 EUCLID AVE

    EUCLID, OH 441171486

    Phone: (216) 243-5589

    Type: Mailing

  • 22830, Chardon Road, Roosevelt Heights, Euclid, Cuyahoga County, Ohio, 44117, United States

    EUCLID, OH 441172115

    Phone: (216) 938-6109

    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: 2023-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220629002242INurse PractitionerOHTBD
I20230517003284INurse PractitionerWATBD

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 44117)

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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: 0446243760View full group profile

Reviews

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Frequently asked questions

How do payers reference MS. LEAH REBBECA STALLWORTH (APRN)?
For MS. LEAH REBBECA STALLWORTH (APRN), use NPI 1003138314 as the unique 10-digit identifier.
Is there an active status for MS. LEAH REBBECA STALLWORTH (APRN)?
For scheduling context, MS. LEAH REBBECA STALLWORTH (APRN) is shown as active in the registry.
How would a patient describe MS. LEAH REBBECA STALLWORTH (APRN)'s focus?
For MS. LEAH REBBECA STALLWORTH (APRN), the primary taxonomy reads as Registered Nurse. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. LEAH REBBECA STALLWORTH (APRN)?
Travel planning: use Euclid, Ohio as the reference point for MS. LEAH REBBECA STALLWORTH (APRN), then confirm.
Does MS. LEAH REBBECA STALLWORTH (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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