TIMOTHY RUSSELL LEONARD
NPI 1023714177
Nurse Practitioner - Family in Grand Rapids, MI
About Timothy Russell Leonard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY RUSSELL LEONARD (NPI 1023714177) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704363385) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Russell Leonard is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Leonard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Timothy Leonard's NPI number?
The NPI number for Timothy Leonard is 1023714177. It was assigned to this individual provider in the NPPES registry on January 31, 2023.
Where is Timothy Leonard located?
Timothy Leonard practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 465-5910.
What is Timothy Leonard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Timothy Leonard enrolled in Medicare?
Yes. Timothy Leonard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Timothy Leonard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Leonard reassigns Medicare benefits to Advantage Health Saint Mary's Medical Group (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Leonard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Leonard accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Timothy Leonard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Timothy Leonard was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Timothy Russell Leonard · NPI 1023714177
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 31, 2023.
## Identity
- **NPI:** 1023714177 (Entity type: Individual)
- **Enumerated:** January 31, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704363385 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (616) 465-5910 · **Fax:** (616) 465-5911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advantage Health Saint Mary's Medical Group (NPI 1952340911, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023714177) · Data from the CMS NPPES public registry.