MR. NELSON LEACH APRN
NPI 1194334359
Nurse Practitioner - Family in Milford, CT

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
29.35/100
CMS Quality Rating
38 BERWYN ST, MILFORD, CT 06461(203) 571-3233(801) 752-0632 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Apr 24, 2024, May 27, 2021 and 1 more (4 updates tracked since 2020).

About Mr. Nelson Leach Aprn NPPES

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

MR. NELSON LEACH APRN (NPI 1194334359) is an individual family provider in Milford, Connecticut, licensed in Connecticut (8964) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194334359
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. NELSON LEACHCredential: APRN
Location Address38 BERWYN STMilford, CT 06461-4010
Mailing Address793 Post Rd E Ste A204Westport, CT 06880-5243
Fax(801) 752-0632
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 23, 2020
Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1194334359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 8964
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 8964 (CT)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 8964 (CT)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 8964 (CT)
38 BERWYN ST, Milford, CT 06461

Secondary Practice Location 1

Location 1109 Boston Post RdOrange, CT 06477-3235 · Phone (203) 874-3682

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nelson Leach Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567880818
PECOS Enrollment IDI20200917002630
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 Reassignments

7

Medicare enrollment records show Nelson Leach reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
38 BERWYN ST
Milford, CT 06461
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 clinicians in this Medicare group
Urgent Care
161 BOSTON AVE
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 44 clinicians in this Medicare group
6.0 mi
Family Medicine
4200 MAIN STREET
Bridgeport, CT 06606
  • Reassigned Medicare billing, Connecticut enrollment
  • 41 clinicians in this Medicare group
Psychiatric/Mental Health
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • 46 clinicians in this Medicare group
6.8 mi
Urgent Care
389 BRIDGEPORT AVE
Shelton, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group
7.8 mi
Urgent Care
1910 BLACK ROCK TPKE
Fairfield, CT 06825
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 clinicians in this Medicare group
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
901 services350 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
755 services351 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
260 services165 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
241 services137 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
231 services231 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
198 services197 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06461 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

29.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost97.84

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
38 BERWYN ST
MILFORD, CT 06461
Nurse Practitioner (Family)
38 BERWYN ST
MILFORD, CT 06461

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 Nelson Leach's NPI number?

The NPI number for Nelson Leach is 1194334359. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Nelson Leach located?

Nelson Leach practices at 38 Berwyn St, Milford, CT 06461. The listed phone number is (203) 571-3233.

What is Nelson Leach's specialty?

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

Is Nelson Leach enrolled in Medicare?

Yes. Nelson Leach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nelson Leach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Leach reassigns Medicare benefits to 7 organizations: Blues And Blahs PLLC (Milford, CT), Quentin Medical Group, LLC (Bridgeport, CT), Qmg4, LLC (Bridgeport, CT), Impact Health Psych PC (Orange, CT), Qmg3, LLC (Shelton, CT) and 2 more organizations, listed in the Medicare section above. Each 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 Nelson Leach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nelson Leach accept?

Health plans from Anthem Blue Cross and Blue Shield list Nelson 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 Nelson Leach was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.