LYDIA JORDAN LEONARD FNP
NPI 1306366562
Nurse Practitioner - Family in Hale, MI

Active since June 20, 2017PECOS Enrolled
3190 NORTHRIDGE RD, HALE, MI 48739(989) 728-6000(989) 728-6003 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jun 20, 2017 (2 updates tracked since 2017).

About Lydia Jordan Leonard Fnp NPPES

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

LYDIA JORDAN LEONARD FNP (NPI 1306366562) is an individual family provider in Hale, Michigan, licensed in Michigan (4704292824) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306366562
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA JORDAN LEONARDCredential: FNP
Location Address3190 NORTHRIDGE RDHale, MI 48739-9276
Mailing Address3190 Northridge DriveHale, MI 48739 · (989) 728-6000 · Fax (989) 728-6003
Fax(989) 728-6003
Sole ProprietorYes
Enumeration DateJune 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1306366562 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 MI · 4704292824
3190 NORTHRIDGE RD, Hale, MI 48739

Other Identifiers 1

Other4704292824MI · Nurse Practitioner License

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)

Lydia Jordan Leonard Fnp 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 Reassignment

Medicare enrollment records show Lydia Leonard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 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 48739 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

Nurse Practitioner (Family)
3190 NORTHRIDGE RD
HALE, MI 48739
Nurse Practitioner (Family)
3190 NORTHRIDGE RD
HALE, MI 48739
Clinic/Center (Rural Health)
3190 NORTHRIDGE RD
HALE, MI 48739
Nurse Practitioner
3190 NORTHRIDGE RD
HALE, MI 48739

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 Lydia Leonard's NPI number?

The NPI number for Lydia Leonard is 1306366562. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Lydia Leonard located?

Lydia Leonard practices at 3190 Northridge Rd, Hale, MI 48739. The listed phone number is (989) 728-6000.

What is Lydia Leonard's specialty?

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

Is Lydia Leonard enrolled in Medicare?

Yes. Lydia Leonard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lydia Leonard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Leonard reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Lydia Leonard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Leonard accept?

Health plans from CareSource (Common Ground Healthcare) list Lydia Leonard 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 Lydia Leonard was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.