Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LETISHA E LEACH FNP-BC, PMHNP-BC
NPI 1063656239
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, OH

Q: What is Letisha Leach's NPI number?

The NPI number for Letisha Leach is 1063656239. It was assigned to this individual provider in the NPPES registry on May 1, 2009. The provider is also known as Letisha Wheeler.

Q: What is Letisha Leach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Letisha Leach was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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 May 01, 2009PECOS Enrolled

12124 ROESTA LN NW, BALTIMORE, OH 43105(614) 300-7977(614) 591-3744 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Feb 1, 2022 (2 updates tracked since 2022).

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About Letisha E Leach Fnp-bc, Pmhnp-bc NPPES

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

LETISHA E LEACH FNP-BC, PMHNP-BC (NPI 1063656239) is an individual psychiatric/mental health provider in Baltimore, Ohio, licensed in Ohio (APRN.CNP.10824) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063656239

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLETISHA E LEACHCredential: FNP-BC, PMHNP-BC

Location Address12124 ROESTA LN NWBaltimore, OH 43105-9200

Mailing Address12124 Roesta Ln NwBaltimore, OH 43105-9200 · (614) 300-7977 · Fax (614) 591-3744

Phone(614) 300-7977

Fax(614) 591-3744

Sole ProprietorYes

Enumeration DateMay 1, 2009

Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1063656239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · APRN.CNP.10824

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 118756-23 (NH), APRN.CNP.10824 (OH)

12124 ROESTA LN NW, Baltimore, OH 43105

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Other Names 1

Former Name (1)Letisha Wheeler

Secondary Practice Locations 2

Location 1814 Elm St Ste 313Manchester, NH 03101-2130 · Phone (603) 321-0084 · Fax (603) 696-3454

Location 22575 W Broad StColumbus, OH 43204-3333 · Phone (614) 859-9733 · Fax (614) 591-3744

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Letisha E Leach Fnp-bc, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Letisha Leach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwestern Recovery Center, LLC

19 mi

Family Medicine

2350 BRIGGS RD
Columbus, OH 43223

Reassigned Medicare billing, Ohio enrollment
13 clinicians in this Medicare group

NPI 1295241933 (614) 594-2141

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 43105 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $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.

Other Providers at the Same Location NPPES

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

FROM ASHES WE RISE LLC

Community/Behavioral Health

12124 ROESTA LN NW
BALTIMORE, OH 43105

Fairfield County (614) 582-2977

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 Letisha Leach's NPI number?

The NPI number for Letisha Leach is 1063656239. It was assigned to this individual provider in the NPPES registry on May 1, 2009. The provider is also known as Letisha Wheeler.

Where is Letisha Leach located?

Letisha Leach practices at 12124 Roesta Ln NW, Baltimore, OH 43105. The listed phone number is (614) 300-7977.

What is Letisha Leach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Letisha Leach enrolled in Medicare?

Yes. Letisha Leach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Letisha Leach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Letisha Leach reassigns Medicare benefits to Southwestern Recovery Center, LLC (Columbus, OH). 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 Letisha Leach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Letisha Leach accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Letisha Leach 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 Letisha Leach was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.