KEVIN T LE ROY CFNP
NPI 1316175052
Nurse Practitioner in Oswego, NY
About Kevin T Le Roy Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN T LE ROY CFNP (NPI 1316175052) is an individual nurse practitioner in Oswego, New York, licensed in New York (335967) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin T Le Roy Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kevin Le Roy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 122 clinicians in this Medicare group
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 129 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 clinicians in this Medicare group
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: St Joseph's Physician Health PC
- 304 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 13126 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 Kevin Le Roy's NPI number?
The NPI number for Kevin Le Roy is 1316175052. It was assigned to this individual provider in the NPPES registry on July 1, 2009.
Where is Kevin Le Roy located?
Kevin Le Roy practices at 110 W 6th St, Oswego, NY 13126. The listed phone number is (315) 349-5511.
What is Kevin Le Roy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kevin Le Roy enrolled in Medicare?
Yes. Kevin Le Roy is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kevin Le Roy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Le Roy reassigns Medicare benefits to 4 organizations: Oswego Hospital (Oswego, NY), Port City Emergency Physicians LLP (Oswego, NY), St Josephs Medical PC (Liverpool, NY) and St. Joseph's Physician Health, P.C. (Troy, NY). 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 Kevin Le Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Le Roy was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kevin T Le Roy, CFNP · NPI 1316175052
Nurse Practitioner physician in Oswego, New York. Individual provider, active in the CMS NPPES registry since July 1, 2009.
## Identity
- **NPI:** 1316175052 (Entity type: Individual)
- **Enumerated:** July 1, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 335967 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 W 6TH ST, Oswego, NY 13126-2507
- **Phone:** (315) 349-5511 · **Fax:** (315) 349-5732
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Oswego Hospital (NPI 1255639043, Oswego, NY); Port City Emergency Physicians LLP (NPI 1134370547, Oswego, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY); St. Joseph's Physician Health, P.C. (NPI 1154376770, Troy, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2012
- **Other identifiers:** Medicaid 03133180 (NY); Medicare PIN J400062549 (NY); Medicare PIN J400005248 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1316175052) · Data from the CMS NPPES public registry.