DR. LEIA NOELLE FECTEAU MD
NPI 1093391500
Student in an Organized Health Care Education/Training Program in Manhasset, NY

Active since March 23, 2021PECOS Enrolled
300 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Leia Noelle Fecteau Md NPPES

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

DR. LEIA NOELLE FECTEAU MD (NPI 1093391500) is an individual student in an organized health care education/training program in Manhasset, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093391500
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LEIA NOELLE FECTEAUCredential: MD
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1093391500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 COMMUNITY DR, Manhasset, NY 11030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leia Noelle Fecteau Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355815861
PECOS Enrollment IDI20260707000895
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 Leia Fecteau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
300 COMMUNITY DR
MANHASSET, NY 11030
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Emergency Medicine
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR, NORTH SHORE UNIVERSITY HOSPITAL
MANHASSET, NY 11030
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR, DEPT OF ANESTHESIA
MANHASSET, NY 11030
Nurse Practitioner (Acute Care)
300 COMMUNITY DR
MANHASSET, NY 11030
Physician Assistant
300 COMMUNITY DR
MANHASSET, NY 11030

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 Leia Fecteau's NPI number?

The NPI number for Leia Fecteau is 1093391500. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Leia Fecteau located?

Leia Fecteau practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.

What is Leia Fecteau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Leia Fecteau enrolled in Medicare?

Yes. Leia Fecteau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leia Fecteau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leia Fecteau reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). 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 Leia Fecteau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leia Fecteau was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.