1. Home
  2. Directory
  3. California
  4. Folsom
  5. Nurse Practitioner
  6. NPI Profile

LEESA AVERY BINGHAM AGNP-C
NPI 1043017874
Nurse Practitioner - Primary Care in Folsom, CA

Active since February 28, 2025PECOS EnrolledAccepts Medicare Assignment
82 CLARKSVILLE RD STE 120, FOLSOM, CA 95630(916) 983-8868 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leesa Avery Bingham Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEESA AVERY BINGHAM AGNP-C (NPI 1043017874) is an individual primary care provider in Folsom, California, licensed in California (95034145) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043017874
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLEESA AVERY BINGHAMCredential: AGNP-C
Location Address82 CLARKSVILLE RD STE 120Folsom, CA 95630-8210
Mailing Address82 Clarksville Rd Ste 120Folsom, CA 95630-8210
Phone(916) 983-8868
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1043017874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95034145
82 CLARKSVILLE RD STE 120, Folsom, CA 95630
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leesa Avery Bingham Agnp-c 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.

PECOS PAC ID648796409
PECOS Enrollment IDI20250424003171
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 95630 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIKA ELIZABETH DETHLEFS FNP-BC
Nurse Practitioner (Family)
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (916) 983-8868
HEALTHY LIVING PRIMARY CARE, INC
Family Medicine
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (916) 983-8868
TERRY E. RAPOSA DO
Family Medicine
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (916) 983-8868
MARISA RONQUILLO LMFT
Marriage & Family Therapist
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (916) 983-8868
KAMAL PREET KAUR FNP
Nurse Practitioner (Family)
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (916) 983-8868
KIMBERLY B BROWN HEALTH COACH
Nutritionist
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (925) 451-0244
SAVANNAH SCHAFFER
Physician Assistant
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (916) 983-8868
LAUREN SHAW
Physician Assistant
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Sacramento County (916) 983-8868

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 Leesa Bingham's NPI number?

The NPI number for Leesa Bingham is 1043017874. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Where is Leesa Bingham located?

Leesa Bingham practices at 82 Clarksville Rd Ste 120, Folsom, CA 95630. The listed phone number is (916) 983-8868.

What is Leesa Bingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Leesa Bingham enrolled in Medicare?

Yes. Leesa Bingham 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.

When was this NPI record last updated?

The NPPES record for Leesa Bingham was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.