TIMOTHY RUSSELL LEONARD
NPI 1023714177
Nurse Practitioner - Family in Grand Rapids, MI

Q: 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.

Q: What is Timothy Leonard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 5 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.

Active since January 31, 2023PECOS Enrolled

200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 465-5910(616) 465-5911 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1023714177

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTIMOTHY RUSSELL LEONARD

Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502

Mailing Address2373 64th St Sw Ste 2500Byron Center, MI 49315-7978 · (616) 465-5910 · Fax (616) 465-5911

Phone(616) 465-5910

Fax(616) 465-5911

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 31, 2023

Last NPPES UpdateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1023714177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704363385

200 JEFFERSON AVE SE, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Russell Leonard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395210488

PECOS Enrollment IDI20260407000533

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

KATHARINE LIND THOMPSON PT

Physical Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

ANNE MARIE TALBOT CRNA

Nurse Anesthetist, Certified Registered

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6063

DR. ADAM MICHAEL ANDERSON MD

Emergency Medicine

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

MARIA E DIMUSTO-POORTENGA MD

Pediatrics (Neonatal-Perinatal Medicine)

200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503

Kent County (616) 752-6554

THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER

Durable Medical Equipment & Medical Supplies

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5030

MELISSA SUE HUDECZ MS, OTR/L

Occupational Therapist

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-6264

CAMRIA RENEE DEATON BSN, RN

Registered Nurse

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 685-5000

MS. NANCY S. WESTENDORP NNP

Nurse Practitioner (Neonatal)

200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 752-6475

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 enrollment system.

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 5 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.