LEAH MARIE LIDDY (FNP-C) – Family Nurse Practitioner, NPI 1639698962

LEAH MARIE LIDDY (FNP-C) is a healthcare provider. based in Miamisburg, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN.CNP.021683 (OH). The NPI Number for LEAH MARIE LIDDY (FNP-C) is 1639698962

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LEAH MARIE LIDDY (FNP-C)
NPI
1639698962
Phone
(937) 384-8791
Address
4000 Miamisburg Centerville Rd
Enumeration Date
19 September 2017
Last Update Date
18 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9378650534
Graduation Year
2017 (9 years ago)
PAC ID
4587921812
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20171121003584
Address ID
OH454495404WE1625XRDXX400

Contacts

Secure Messaging
lliddy601348@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LEAH MARIE LIDDY (FNP-C)

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • 1141 N Monroe Dr

    Xenia, OH 453851619

    Phone: (937) 352-2500

    Type: Location

  • 8701 Old Troy Pike

    Huber Heights, OH 454241066

    Phone: (937) 558-3338

    Type: Location

  • 3535 Pentagon Blvd

    Beavercreek, OH 454311705

    Phone: (937) 702-4500

    Type: Location

  • 2115 LEITER RD

    MIAMISBURG, OH 453423600

    Phone: (937) 384-6800

    Fax: (937) 384-6938

    Type: Location

  • 100 Kettering Way

    Franklin, OH 450051155

    Phone: (937) 458-4700

    Type: Location

  • 1997 Miamisburg Centerville Rd

    Centerville, OH 454593811

    Phone: (937) 401-6228

    Fax: (937) 401-6447

    Type: Location

  • 405 W Grand Ave

    Dayton, OH 454057538

    Phone: (937) 723-3321

    Fax: (937) 723-4609

    Type: Location

  • 450 Washington Jackson Rd Ste F

    Eaton, OH 453208699

    Phone: (937) 456-8376

    Fax: (937) 456-8377

    Type: Location

  • 6147 State Route 122

    Middletown, OH 450055201

    Phone: (513) 261-3410

    Fax: (513) 261-3419

    Type: Location

  • 600 W Main St

    Troy, OH 453732928

    Phone: (937) 980-7010

    Fax: (937) 980-7019

    Type: Location

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • Kettering Medical Center, 3535, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • 2115, Leiter Road, Miamisburg, Montgomery County, Ohio, 45342, United States

    MIAMISBURG, OH 453423600

    Phone: (937) 384-6800

    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: 2017-11-21

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
I20171121003584INurse 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 minutes8466$0
99213Established patient office or other outpatient visit, 20-29 minutes2926$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2222$0
81003Automated urinalysis test1615$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 0840104360View full group profile

Reviews

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Frequently asked questions

What is the standard ID for LEAH MARIE LIDDY (FNP-C) in the U.S.?
In the U.S., LEAH MARIE LIDDY (FNP-C) is identified by NPI 1639698962.
Does the public listing show LEAH MARIE LIDDY (FNP-C) as active?
LEAH MARIE LIDDY (FNP-C)'s NPI record reflects an active status in NPPES.
How should patients interpret LEAH MARIE LIDDY (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for LEAH MARIE LIDDY (FNP-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LEAH MARIE LIDDY (FNP-C)?
LEAH MARIE LIDDY (FNP-C) is associated with Miamisburg, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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