1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Physician Assistant
  6. NPI Profile

LEILANI PHELAN PA-C
NPI 1407126394
Physician Assistant - Medical in Tampa, FL

Active since January 09, 2012PECOS EnrolledAccepts Medicare Assignment
15320 AMBERLY DR, SUITE A, TAMPA, FL 33647(813) 977-2090(813) 977-9107 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leilani Phelan Pa-c NPPES

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

LEILANI PHELAN PA-C (NPI 1407126394) is an individual medical provider in Tampa, Florida, licensed in Florida (PA9106375) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Carrollwood, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1407126394
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLEILANI PHELANCredential: PA-C
Location Address15320 AMBERLY DR, SUITE ATampa, FL 33647-1647
Mailing Address15320 Amberly Dr, Suite BTampa, FL 33647-1647 · (813) 977-0733 · Fax (813) 971-2230
Phone(813) 977-2090
Fax(813) 977-9107
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 9, 2012
Last NPPES UpdateMay 15, 2019
✔ NPI 1407126394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106375
15320 AMBERLY DR, Tampa, FL 33647
Open in Google Maps ↗

Other Names 1

Former Name (1)Leilani Otero Pa-c

Other Identifiers 1

OtherPA9106375FL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leilani Phelan Pa-c 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 ID5890031777
PECOS Enrollment IDI20190114002957
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

GMS FLORIDA WEST COAST INC
Family Medicine
15320 AMBERLY DR, SUITE B
TAMPA, FL 33647
Hillsborough County (813) 977-0733
EMILY HORN PA
Family Medicine
15320 AMBERLY DR, SUITE A
TAMPA, FL 33647
Hillsborough County (813) 977-2090
KIMBERLY ANNE CHANNELS PA
Physician Assistant
15320 AMBERLY DR, SUITE, A
TAMPA, FL 33647
Hillsborough County (813) 977-0733
MARK S WEISSMAN M.D.
Internal Medicine
15320 AMBERLY DR, SUITE A
TAMPA, FL 33647
Hillsborough County (813) 977-2090
MARTHA P FORD D.O.
Family Medicine
15320 AMBERLY DR, SUITE A
TAMPA, FL 33647
Hillsborough County (813) 977-2090
CORY DOWELL
Nurse Practitioner (Family)
15320 AMBERLY DR, SUITE A
TAMPA, FL 33647
Hillsborough County (813) 977-2090

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 Leilani Phelan's NPI number?

The NPI number for Leilani Phelan is 1407126394. It was assigned to this individual provider in the NPPES registry on January 9, 2012. The provider is also known as Leilani Otero Pa-C.

Where is Leilani Phelan located?

Leilani Phelan practices at 15320 Amberly Dr Suite A, Tampa, FL 33647. The listed phone number is (813) 977-2090.

What is Leilani Phelan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Leilani Phelan enrolled in Medicare?

Yes. Leilani Phelan 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.

What insurance does Leilani Phelan accept?

Health plans from Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Leilani Phelan 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 Leilani Phelan affiliated with any hospitals?

According to CMS data, Leilani Phelan is affiliated with Florida Hospital Carrollwood and St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Leilani Phelan was last updated on May 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.