Provider Type Icon

IVELISSE E LEONOR FAMILY NURSE PRACTIO NPI 1104146042


NPI Information

NPI: 1104146042
Provider Name: IVELISSE E LEONOR, FAMILY NURSE PRACTIO
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1234 NAPIER AVE
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 985-4632
Get Directions

Ivelisse E Leonor, FAMILY NURSE PRACTIO is a family nurse practitioner in Saint Joseph, MI with 14 years of experience. Ivelisse E Leonor, FAMILY NURSE PRACTIO NPI is 1104146042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1234 NAPIER AVE
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 985-4632
Fax: (269) 985-4523

The NPI 1104146042 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Insertion of temporary bladder catheter (HCPCS:51701)

The enumeration date for this NPI number is 6/2/2010 and was last updated on 8/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse28162828AINDIANANo
2363LF0000XNurse PractitionerFamily71003297AINDIANANo
3363LF0000XNurse PractitionerFamily4704291709MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000669053OTHERINDIANAANTHEM
271003297AOTHERINDIANAAPN PRESCRIPTIVE AUTHORITY
371003297BOTHERINDIANACSR
4200989980MEDICAIDINDIANA
51104146942MEDICAIDMICHIGAN
628162828AOTHERINDIANARN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.