MRS. MARY RUTH LEYENDECKER (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417322397

MRS. MARY RUTH LEYENDECKER (NP) is a healthcare provider. based in Middletown, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. COA.18443-NP (OH). The NPI Number for MRS. MARY RUTH LEYENDECKER (NP) is 1417322397

Main info

Female
9 Years Of Experience
Name
MRS. MARY RUTH LEYENDECKER (NP)
NPI
1417322397
Phone
(513) 849-2081
Address
1215 1st Ave
Enumeration Date
3 December 2015
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5137957557
Graduation Year
2017 (9 years ago)
PAC ID
3173826559
Group Practice PAC ID
6608029962
Professional Enrollment ID
I20160119000664
Address ID
OH450111930HA1910XAVEX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. MARY RUTH LEYENDECKER (NP)

  • 1215 1st Ave

    Middletown, OH 450444117

    Phone: (513) 849-2081

    Type: Location

  • 975 KINGSVIEW DR

    LEBANON, OH 450369562

    Phone: (513) 228-7800

    Type: Location

  • 1910 FAIRGROVE AVE

    HAMILTON, OH 450111930

    Phone: (513) 868-0055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $1,807.

Total Amount is formed as General ($1,807) + Research ($0) + Ownership ($0) = $1,807.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($591).

Total Amount

$1,807

General + Research + Ownership

Payments

117

Total payment records

General Amount

$1,807

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

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: 2016-01-19

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
I20160119000664INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45044)

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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: 6608029962View full group profile
NameSpecialtyState
Mental Health CounselorOH
Nurse PractitionerOH
-OH
Mental Health CounselorOH
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
-OH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

How do I look up MRS. MARY RUTH LEYENDECKER (NP) by NPI?
Use NPI 1417322397 when you need to reference MRS. MARY RUTH LEYENDECKER (NP) in forms, claims, or directories.
Is MRS. MARY RUTH LEYENDECKER (NP)'s NPI currently valid?
The extract we use shows MRS. MARY RUTH LEYENDECKER (NP) as active.
Does MRS. MARY RUTH LEYENDECKER (NP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MRS. MARY RUTH LEYENDECKER (NP). Clinical services aligned with this taxonomy classification.
Does MRS. MARY RUTH LEYENDECKER (NP) practice in Ohio?
You will see Middletown, Ohio on file for MRS. MARY RUTH LEYENDECKER (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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