MISS LEANNE NASSAR WINES PA-C
NPI 1073663324
Physician Assistant - Medical in Boston, MA
About Miss Leanne Nassar Wines Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS LEANNE NASSAR WINES PA-C (NPI 1073663324) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (PA2258) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Leanne Nassar Wines Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Leanne Wines's NPI number?
The NPI number for Leanne Wines is 1073663324. It was assigned to this individual provider in the NPPES registry on January 11, 2007.
Where is Leanne Wines located?
Leanne Wines practices at 100 Blossom St Cox 630, Boston, MA 02114. The listed phone number is (617) 724-4810.
What is Leanne Wines's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Leanne Wines enrolled in Medicare?
Yes. Leanne Wines is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Leanne Wines was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Miss Leanne Nassar Wines, PA-C · NPI 1073663324
Medical physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1073663324 (Entity type: Individual)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA2258 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 BLOSSOM ST, COX 630, Boston, MA 02114-2606
- **Phone:** (617) 724-4810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 27, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1073663324) · Data from the CMS NPPES public registry.