LEAH NIGHTINGALE – Professional Counselor, NPI 1114692639

LEAH NIGHTINGALE is a healthcare provider. based in New richmond, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 5050-226 (WI). The NPI Number for LEAH NIGHTINGALE is 1114692639

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LEAH NIGHTINGALE
NPI
1114692639
Phone
(715) 246-4840
Address
150 W 1ST ST STE 270
Enumeration Date
16 August 2021
Last Update Date
16 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152464840
Graduation Year
2021 (5 years ago)
PAC ID
5890297741
Group Practice PAC ID
5395273536
Professional Enrollment ID
I20250909000803
Address ID
WI547016133EA1120XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for LEAH NIGHTINGALE

  • 150 W 1ST ST STE 270

    NEW RICHMOND, WI 540171770

    Phone: (715) 246-4840

    Fax: (715) 254-9459

    Mailing address matches the actual address.

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: 2025-09-09

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
I20250909000803IMental Health CounselorWITBD

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 54017)

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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: 5395273536View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

How is LEAH NIGHTINGALE identified in CMS data?
CMS-hosted NPPES data lists LEAH NIGHTINGALE with NPI 1114692639.
Does CMS list LEAH NIGHTINGALE as active?
Yes — LEAH NIGHTINGALE is active in the NPI listing used on this page.
What is LEAH NIGHTINGALE's primary classification?
Professional Counselor is the headline specialty for LEAH NIGHTINGALE here. Clinical services aligned with this taxonomy classification.
Where should I expect LEAH NIGHTINGALE on a map?
Expect New Richmond, Wisconsin as a primary anchor for LEAH NIGHTINGALE unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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