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KATHRYN A LEIDECKER
NPI 1497261002
Nurse Practitioner - Family in Raleigh, NC

Active since December 18, 2017PECOS Enrolled
3024 NEW BERN AVE STE 307, RALEIGH, NC 27610(919) 350-7844 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 8, 2021, Dec 18, 2017 (2 updates tracked since 2017).

About Kathryn A Leidecker NPPES

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

KATHRYN A LEIDECKER (NPI 1497261002) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5010107) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497261002
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN A LEIDECKER
Location Address3024 NEW BERN AVE STE 307Raleigh, NC 27610-1247
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 350-7844
Sole ProprietorNo
Enumeration DateDecember 18, 2017
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
✔ NPI 1497261002 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 NC · 5010107
3024 NEW BERN AVE STE 307, Raleigh, NC 27610
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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 (PECOS)

Kathryn A Leidecker 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

GITANJALI MADAN FLEISCHMAN M.D.
Otolaryngology
3024 NEW BERN AVE STE 307
RALEIGH, NC 27610
Wake County (919) 350-7856

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 Kathryn Leidecker's NPI number?

The NPI number for Kathryn Leidecker is 1497261002. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Kathryn Leidecker located?

Kathryn Leidecker practices at 3024 New Bern Ave Ste 307, Raleigh, NC 27610. The listed phone number is (919) 350-7844.

What is Kathryn Leidecker's specialty?

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

Is Kathryn Leidecker enrolled in Medicare?

Yes. Kathryn Leidecker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Leidecker was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.