LEATHA M ROSS (CRNP) – Family Nurse Practitioner, NPI 1487720801
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for LEATHA M ROSS (CRNP)
Wright State University, 3640, Colonel Glenn Highway, Dayton, Greene County, Ohio, 45435, United States
051 STUDENT UNION
DAYTON, OH 454350001
Phone: (937) 775-3996
Fax: (937) 775-3260
Type: Location
30 W MCCREIGHT AVE STE 110
SPRINGFIELD, OH 455041853
Phone: (937) 523-9050
Fax: (937) 523-9059
Type: Location
1770, South Center Boulevard, Southgate, Springfield, Clark County, Ohio, 45506, United States
SPRINGFIELD, OH 455063154
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $590.
Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Abbott Laboratories ($254).
Total Amount
$590
General + Research + Ownership
Payments
7
Total payment records
General Amount
$590
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $254 |
| ABBVIE INC. | $188 |
| Amgen Inc. | $148 |
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: 2018-10-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181030000307 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 33 | $0 |
| 83036 | Hemoglobin a1c level | 19 | 12 | $0 |
| G0008 | Administration of influenza virus vaccine | 15 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 45435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
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