LEAH THYBERG RUNDLETT DNP, FNP
NPI 1407639743
Nurse Practitioner in Crownsville, MD

Q: What is Leah Rundlett's NPI number?

The NPI number for Leah Rundlett is 1407639743. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Q: What is Leah Rundlett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Leah Rundlett was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 18, 2023PECOS EnrolledAccepts Medicare Assignment

1212 SEVERNVIEW DR, CROWNSVILLE, MD 21032(443) 280-4637 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 11, 2025, Aug 18, 2023 (2 updates tracked since 2023).

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About Leah Thyberg Rundlett Dnp, Fnp NPPES

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

LEAH THYBERG RUNDLETT DNP, FNP (NPI 1407639743) is an individual nurse practitioner in Crownsville, Maryland, licensed in Maryland (R245651) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407639743

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLEAH THYBERG RUNDLETTCredential: DNP, FNP

Location Address1212 SEVERNVIEW DRCrownsville, MD 21032-1105

Mailing Address1212 Severnview DrCrownsville, MD 21032-1105 · (443) 280-4637

Phone(443) 280-4637

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 18, 2023

Last NPPES UpdateJanuary 11, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2025

✔ NPI 1407639743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MD · R245651

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License R245651 (MD)

1212 SEVERNVIEW DR, Crownsville, MD 21032

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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

Leah Thyberg Rundlett Dnp, Fnp 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 ID4789101353

PECOS Enrollment IDI20250507001287

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21032 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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 Leah Rundlett's NPI number?

The NPI number for Leah Rundlett is 1407639743. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Leah Rundlett located?

Leah Rundlett practices at 1212 Severnview Dr, Crownsville, MD 21032. The listed phone number is (443) 280-4637.

What is Leah Rundlett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Leah Rundlett enrolled in Medicare?

Yes. Leah Rundlett 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.

When was this NPI record last updated?

The NPPES record for Leah Rundlett was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.