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LADAWNA R LEETH APN
NPI 1306212774
Clinical Nurse Specialist - Adult Health in Mount Holly, NJ

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment
67.64/100
CMS Quality Rating
231 HIGH ST FL 1, MOUNT HOLLY, NJ 08060(609) 534-5998(609) 488-6023 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ladawna R Leeth Apn NPPES

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

LADAWNA R LEETH APN (NPI 1306212774) is an individual adult health provider in Mount Holly, New Jersey, licensed in New Jersey (26NJ00460100) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1306212774
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameLADAWNA R LEETHCredential: APN
Location Address231 HIGH ST FL 1Mount Holly, NJ 08060-1450
Mailing Address231 High St Fl 1Mount Holly, NJ 08060-1450 · (609) 534-5998 · Fax (609) 488-6023
Phone(609) 534-5998
Fax(609) 488-6023
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 19, 2015
Last NPPES UpdateApril 3, 2017
✔ NPI 1306212774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in NJ · 26NJ00460100
231 HIGH ST FL 1, Mount Holly, NJ 08060
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ladawna R Leeth Apn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Ladawna R Leeth Apn 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 ID2668777061
PECOS Enrollment IDI20160223001507
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

2

Medicare enrollment records show Ladawna Leeth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Physician Group, PC
Same address
Family Medicine
231 HIGH ST FL 1
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1750647715 (609) 534-5998
Moorestown Visiting Nurse Association Inc
9.3 mi
Home Health
300 HARPER DR
Moorestown, NJ 08057
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1548261688 (856) 552-1300

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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
258 services107 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
61 services36 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
29 services22 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services19 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
18 services18 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08060 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

67.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.87
Improvement Activities40
Cost18.25

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims682 services$0.39 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims35 services$6.20 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
2 suppliers11 claims44 services$2.96 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers11 claims24 services$5.63 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
2 suppliers11 claims24 services$3.01 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers11 claims70 services$1.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

NICOLE MARIE CARNIVALE MSN, APRN, FNP-BC
Nurse Practitioner (Family)
231 HIGH ST FL 1
MOUNT HOLLY, NJ 08060
Burlington County (609) 534-5998
ELIZABETH DONNELLY FNP-BC
Nurse Practitioner (Family)
231 HIGH ST FL 1
MOUNT HOLLY, NJ 08060
Burlington County (609) 534-5998
DR. MATTHEW KASPAR APN
Nurse Practitioner (Family)
231 HIGH ST FL 1
MOUNT HOLLY, NJ 08060
Burlington County (609) 534-5998
MOBILE PHYSICIAN GROUP, PC
Family Medicine
231 HIGH ST FL 1
MOUNT HOLLY, NJ 08060
Burlington County (609) 534-5998

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 Ladawna Leeth's NPI number?

The NPI number for Ladawna Leeth is 1306212774. It was assigned to this individual provider in the NPPES registry on August 19, 2015. The provider is also known as Ladawna R Leeth Apn.

Where is Ladawna Leeth located?

Ladawna Leeth practices at 231 High St Fl 1, Mount Holly, NJ 08060. The listed phone number is (609) 534-5998.

What is Ladawna Leeth's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Ladawna Leeth enrolled in Medicare?

Yes. Ladawna Leeth 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 Ladawna Leeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ladawna Leeth reassigns Medicare benefits to 2 organizations: Mobile Physician Group, PC (Mount Holly, NJ) and Moorestown Visiting Nurse Association Inc (Moorestown, NJ). 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 Ladawna Leeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ladawna Leeth accept?

Health plans from Oscar Health list Ladawna Leeth 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 Ladawna Leeth was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.