LEAH NELSON APRN, CNP
NPI 1255005443
Nurse Practitioner - Family in Galesburg, IL
About Leah Nelson Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEAH NELSON APRN, CNP (NPI 1255005443) is an individual family provider in Galesburg, Illinois, licensed in Illinois (209023728) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Leah Nelson Aprn, Cnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Leah Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Galesburg, IL 61401
- Reassigned Medicare billing, Illinois enrollment
- 134 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Graham Hospital Association
Acute Care Hospitals · Canton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Leah Nelson's NPI number?
The NPI number for Leah Nelson is 1255005443. It was assigned to this individual provider in the NPPES registry on August 2, 2021.
Where is Leah Nelson located?
Leah Nelson practices at 3315 N Seminary St, Galesburg, IL 61401. The listed phone number is (093) 344-1000.
What is Leah Nelson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Leah Nelson enrolled in Medicare?
Yes. Leah Nelson 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 organization bills Medicare for Leah Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leah Nelson reassigns Medicare benefits to Graham Hospital Association (Galesburg, IL). 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 Leah Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leah Nelson accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Leah Nelson 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.
Is Leah Nelson affiliated with any hospitals?
According to CMS data, Leah Nelson is affiliated with Graham Hospital Association.
When was this NPI record last updated?
The NPPES record for Leah Nelson was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Leah Nelson, APRN, CNP · NPI 1255005443
Family physician in Galesburg, Illinois. Individual provider, active in the CMS NPPES registry since August 2, 2021.
## Identity
- **NPI:** 1255005443 (Entity type: Individual)
- **Enumerated:** August 2, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209023728 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3315 N SEMINARY ST, Galesburg, IL 61401-1251
- **Phone:** (093) 344-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Graham Hospital Association (NPI 1134975576, Galesburg, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255005443) · Data from the CMS NPPES public registry.