CRESENCIA E LEOPOLD ANP
NPI 1225642200
Nurse Practitioner - Gerontology in Newark, NJ

Active since September 07, 2020PECOS Enrolled
201 LYONS AVE, NEWARK, NJ 07112(973) 868-2983 Get Directions Write a Review

NPPES record last updated: September 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cresencia E Leopold Anp NPPES

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

CRESENCIA E LEOPOLD ANP (NPI 1225642200) is an individual gerontology provider in Newark, New Jersey, licensed in New Jersey (26NJ01026300) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225642200
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCRESENCIA E LEOPOLDCredential: ANP
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address201 Lyons AveNewark, NJ 07112-2027 · (973) 868-2983
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 7, 2020
NPPES CertifiedSeptember 7, 2020
✔ NPI 1225642200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ01026300
201 LYONS AVE, Newark, NJ 07112

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cresencia E Leopold Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890265623
PECOS Enrollment IDI20260521003634
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 Cresencia Leopold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 20

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

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology (Pediatric Anesthesiology)
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112

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 Cresencia Leopold's NPI number?

The NPI number for Cresencia Leopold is 1225642200. It was assigned to this individual provider in the NPPES registry on September 7, 2020.

Where is Cresencia Leopold located?

Cresencia Leopold practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 868-2983.

What is Cresencia Leopold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Cresencia Leopold enrolled in Medicare?

Yes. Cresencia Leopold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cresencia Leopold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cresencia Leopold reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Cresencia Leopold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cresencia Leopold accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Cresencia Leopold 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 Cresencia Leopold was last updated on September 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.