LEILA KISSICK (DNP) – Family Nurse Practitioner, NPI 1831347699

LEILA KISSICK (DNP) is a healthcare provider. based in Prince george, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. RN134622 (AZ). The NPI Number for LEILA KISSICK (DNP) is 1831347699

Main info

Female
13 Years Of Experience
Name
LEILA KISSICK (DNP)
NPI
1831347699
Phone
(804) 256-8282
Address
2035 Waterside Rd Ste 105
Enumeration Date
5 September 2008
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8044435378
Graduation Year
2013 (13 years ago)
PAC ID
5294964284
Group Practice PAC ID
3476986613
Professional Enrollment ID
I20221208000247
Address ID
VA225609309TA1362XBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:17State licenses:4Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for LEILA KISSICK (DNP)

  • 2035 Waterside Rd Ste 105

    Prince George, VA 238751265

    Phone: (804) 256-8282

    Fax: (804) 256-8288

    Type: Location

  • 5 Tee Box, East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33620, United States

    TAMPA, FL 336822969

    Phone: (813) 866-0930

    Fax: (813) 405-3722

    Type: Mailing

  • 302, West Fletcher Avenue, North Tampa Heights, Lake Magdalene, Hillsborough County, Florida, 33612, United States

    TAMPA, FL 336123415

    Phone: (813) 397-5300

    Fax: (813) 549-7855

    Type: Location

  • 8006 Discovery Dr Ste 400

    Henrico, VA 232298600

    Phone: (804) 256-8282

    Fax: (804) 256-8288

    Type: Location

  • 7300 ASHLAKE PKWY STE 200

    CHESTERFIELD, VA 238322827

    Phone: (804) 256-8282

    Fax: (804) 256-8288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($77).

Total Amount

$167

General + Research + Ownership

Payments

9

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2022-12-08

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
I20140218000313INurse PractitionerAZTBD
I20221208000247INurse PractitionerVATBD

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 23875)

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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: 3476986613View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm LEILA KISSICK (DNP)'s NPI?
Yes. LEILA KISSICK (DNP) is listed with NPI 1831347699 in the public NPI dataset.
Can I rely on LEILA KISSICK (DNP) being an active provider?
As of the registry snapshot, LEILA KISSICK (DNP) is marked active.
What is LEILA KISSICK (DNP)'s specialty?
The listing groups LEILA KISSICK (DNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LEILA KISSICK (DNP) based?
LEILA KISSICK (DNP) is tied to Prince George, Virginia in the data we show; additional addresses may exist on the full record.
Why does LEILA KISSICK (DNP) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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