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JOHN JOSEPH LETZO CRNP
NPI 1114757903
Nurse Practitioner - Family in Clymer, NY

Active since August 06, 2024PECOS Enrolled
354 CLYMER CORRY RD, CLYMER, NY 14724(716) 355-2248(716) 355-2254 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2024, Aug 6, 2024 (2 updates tracked since 2024).

About John Joseph Letzo Crnp NPPES

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

JOHN JOSEPH LETZO CRNP (NPI 1114757903) is an individual family provider in Clymer, New York, licensed in New York (F354838) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114757903
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN JOSEPH LETZOCredential: CRNP
Location Address354 CLYMER CORRY RDClymer, NY 14724-9701
Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2529 · Fax (814) 868-2522
Phone(716) 355-2248
Fax(716) 355-2254
Sole ProprietorNo
Enumeration DateAugust 6, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1114757903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F354838
354 CLYMER CORRY RD, Clymer, NY 14724
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Joseph Letzo Crnp 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 John Letzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Corry Memorial Hospital Association
Same address
Rural Health
354 CLYMER CORRY RD
Clymer, NY 14724
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • Also billed through NPI 1124406376 (Pennsylvania), NPI 1255967956 (Pennsylvania)
  • 8 clinicians in this Medicare group
NPI 1255922043 (716) 355-2248

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 14724 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

CORRY MEMORIAL HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
354 CLYMER CORRY RD
CLYMER, NY 14724
Chautauqua County (716) 355-2248
CORRY MEDICAL SERVICES, INC.
Clinic/Center (Rural Health)
354 CLYMER CORRY RD
CLYMER, NY 14724
Chautauqua County (716) 355-2248
CORRY MEDICAL SERVICES, INC
General Practice
354 CLYMER CORRY RD
CLYMER, NY 14724
Chautauqua County (716) 335-2248

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 John Letzo's NPI number?

The NPI number for John Letzo is 1114757903. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is John Letzo located?

John Letzo practices at 354 Clymer Corry Rd, Clymer, NY 14724. The listed phone number is (716) 355-2248.

What is John Letzo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Letzo enrolled in Medicare?

Yes. John Letzo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Letzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Letzo reassigns Medicare benefits to Corry Memorial Hospital Association (Clymer, 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 John Letzo'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 John Letzo was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.