NICOLE E LEACH (CNP) – Pediatric Nurse Practitioner, NPI 1417187857

NICOLE E LEACH (CNP) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.10679 (OH). The NPI Number for NICOLE E LEACH (CNP) is 1417187857

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE E LEACH (CNP)
NPI
1417187857
Phone
(440) 989-3801
Address
PO BOX 636643
Enumeration Date
20 July 2009
Last Update Date
4 August 2017

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
4409885226
Graduation Year
2009 (17 years ago)
PAC ID
4183760788
Group Practice PAC ID
1355474172
Professional Enrollment ID
I20091013000468
Address ID
OH440011131AM578XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for NICOLE E LEACH (CNP)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636643

    Phone: (440) 989-3801

    Fax: (440) 960-0264

    Type: Mailing

  • State Road, Vermilion Township, Erie County, Ohio, 44089, United States

    6

    VERMILION, OH 440899142

    Phone: (440) 967-8713

    Fax: (440) 967-1938

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $310.

Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($142).

Total Amount

$310

General + Research + Ownership

Payments

10

Total payment records

General Amount

$310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2009-10-13

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
I20091013000468INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes184103$0
99213Established patient office or other outpatient visit, 20-29 minutes11477$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8181$0
G0008Administration of influenza virus vaccine4442$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage4038$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 1355474172View full group profile

Reviews

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Frequently asked questions

How do payers reference NICOLE E LEACH (CNP)?
For NICOLE E LEACH (CNP), use NPI 1417187857 as the unique 10-digit identifier.
Active or inactive — what applies to NICOLE E LEACH (CNP)?
You should see NICOLE E LEACH (CNP) as active in CMS-hosted NPPES data.
How would a patient describe NICOLE E LEACH (CNP)'s focus?
For NICOLE E LEACH (CNP), the primary taxonomy reads as Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NICOLE E LEACH (CNP) associated with Cincinnati?
Public fields place NICOLE E LEACH (CNP) around Cincinnati, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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