STACIE J LEEPER (CPNP-AC) – Pediatric Nurse Practitioner, NPI 1558796573
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STACIE J LEEPER (CPNP-AC)
278 W Union St
Athens, OH 457012310
Phone: (614) 722-2000
Type: Location
5665 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-2000
Type: Location
730 W. High Street
Lima, OH 45801
Phone: (614) 722-2000
Type: Location
716 Adair Ave
Zanesville, OH 437012836
Phone: (614) 722-2000
Type: Location
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-6200
Type: Location
500 S Cleveland Ave
Westerville, OH 430818971
Phone: (614) 722-2000
Type: Location
304 Putnam St
Marietta, OH 457503022
Phone: (614) 722-2000
Type: Location
7901 Diley Rd
Canal Winchester, OH 431109612
Phone: (614) 722-2000
Type: Location
410 W 10th Ave
Columbus, OH 432101240
Phone: (614) 722-2000
Type: Location
730 W Market St
Lima, OH 458014602
Phone: (614) 722-2000
Type: Location
380 Butterfly Gardens Dr
Columbus, OH 432157508
Phone: (614) 722-2000
Type: Location
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-2000
Type: Location
26 Hospital Dr
Athens, OH 457012471
Phone: (614) 722-2000
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 43205
Phone: (614) 722-2000
Type: Location
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 $637.
Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: BioMarin Pharmaceutical Inc. ($282).
Total Amount
$637
General + Research + Ownership
Payments
7
Total payment records
General Amount
$637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-04-10
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 |
|---|---|---|---|---|
| I20190410002481 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45701)
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Reviews
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