JOHN PAUL PONCE DE LEON
NPI 1093687956
Nurse Practitioner in Cincinnati, OH

Q: What is John Ponce De Leon's NPI number?

The NPI number for John Ponce De Leon is 1093687956. It was assigned to this individual provider in the NPPES registry on September 20, 2025.

Q: What is John Ponce De Leon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 20, 2025PECOS Enrolled

5642 HAMILTON AVE, CINCINNATI, OH 45224(513) 636-0800 Get Directions Write a Review

NPPES record last updated: November 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2025, Sep 20, 2025 (2 updates tracked since 2025).

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About John Paul Ponce De Leon NPPES

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

JOHN PAUL PONCE DE LEON (NPI 1093687956) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0040360) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2025).

NPPES Registry Identity

NPI1093687956

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJOHN PAUL PONCE DE LEON

Location Address5642 HAMILTON AVECincinnati, OH 45224-3114

Mailing Address4861 W Fork RdCincinnati, OH 45247-5939

Phone(513) 636-0800

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2025

Enumeration DateSeptember 20, 2025

Last NPPES UpdateNovember 16, 20252 updates tracked since enumeration

NPPES CertifiedNovember 16, 2025

✔ NPI 1093687956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · APRN.CNP.0040360

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5642 HAMILTON AVE, Cincinnati, OH 45224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Paul Ponce De Leon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779077144

PECOS Enrollment IDI20251212001206

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 45224 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 13

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

ASHLEY MICHELLE-ROIG PONCE DE LEON

Nurse Practitioner