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MICHELLE LEIVA NP
NPI 1285264911
Nurse Practitioner - Family in Baytown, TX

Active since January 22, 2020PECOS Enrolled
81.38/100
CMS Quality Rating
1677 W BAKER RD STE 1601, BAYTOWN, TX 77521(281) 428-4101 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, May 5, 2022, Aug 6, 2021 and 1 more (4 updates tracked since 2020).

About Michelle Leiva Np NPPES

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

MICHELLE LEIVA NP (NPI 1285264911) is an individual family provider in Baytown, Texas, licensed in Texas (1020835) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285264911
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LEIVACredential: NP
Location Address1677 W BAKER RD STE 1601Baytown, TX 77521-2422
Mailing Address1677 W Baker Rd Ste 1601Baytown, TX 77521-2422 · (281) 428-4101
Phone(281) 428-4101
Sole ProprietorNo
Enumeration DateJanuary 22, 2020
Last NPPES UpdateMay 28, 20254 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1285264911 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 TX · 1020835
1677 W BAKER RD STE 1601, Baytown, TX 77521
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Leiva Np 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 Reassignments

3

Medicare enrollment records show Michelle Leiva reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians
27 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325
Tmh Physician Associates PLLC
28 mi
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
NPI 1275779225 (713) 441-7389
Houston Methodist Specialty Physicians
28 mi
Otolaryngology
7550 GREENBRIAR DR STE 600
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 1,579 clinicians in this Medicare group
NPI 1902614332 (281) 414-6055

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 77521 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Other Providers at the Same Location NPPES

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

DR. RACHEL MOWREY MD
Preventive Medicine (Occupational Medicine)
1677 W BAKER RD STE 1601
BAYTOWN, TX 77521
Harris County (281) 428-4101

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 Michelle Leiva's NPI number?

The NPI number for Michelle Leiva is 1285264911. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Michelle Leiva located?

Michelle Leiva practices at 1677 W Baker Rd Ste 1601, Baytown, TX 77521. The listed phone number is (281) 428-4101.

What is Michelle Leiva's specialty?

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

Is Michelle Leiva enrolled in Medicare?

Yes. Michelle Leiva is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Leiva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Leiva reassigns Medicare benefits to 3 organizations: Ut Physicians (Houston, TX), Tmh Physician Associates PLLC (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). 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 Michelle Leiva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Leiva accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Michelle Leiva 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 Michelle Leiva was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.