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ANDREA LEARY
NPI 1538692736
Nurse Practitioner - Family in Palatka, FL

Active since April 05, 2017PECOS Enrolled
205 ZEAGLER DR STE 101, PALATKA, FL 32177(386) 325-2836(386) 325-2736 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Leary NPPES

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

ANDREA LEARY (NPI 1538692736) is an individual family provider in Palatka, Florida, licensed in Florida (9348971) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538692736
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA LEARY
Location Address205 ZEAGLER DR STE 101Palatka, FL 32177-3860
Mailing AddressPo Box 551308Jacksonville, FL 32255-1308 · (904) 622-9040 · Fax (904) 309-5691
Phone(386) 325-2836
Fax(386) 325-2736
Sole ProprietorNo
Enumeration DateApril 5, 2017
Last NPPES UpdateMarch 26, 2018
✔ NPI 1538692736 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 FL · 9348971
205 ZEAGLER DR STE 101, Palatka, FL 32177
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Leary 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 Reassignments

3

Medicare enrollment records show Andrea Leary reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Express Family Care
19 mi
Family Medicine
300 S MAIN ST
Crescent City, FL 32112
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1891034823 (386) 698-1221
Haven Medical Group, LLC
45 mi
Hospice and Palliative Medicine
4200 NW 90TH BLVD
Gainesville, FL 32606
  • Reassigned Medicare billing, Florida enrollment
  • 42 clinicians in this Medicare group
NPI 1407143316 (352) 378-2121
Paragon Emergency Services LLC
110 mi
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121

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 32177 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

DR. SIVA SURYADEVARA M.D.
Internal Medicine (Interventional Cardiology)
205 ZEAGLER DR STE 101
PALATKA, FL 32177
Putnam County (386) 325-2836
KORTNEY WINKLEMAN ARNP
Nurse Practitioner
205 ZEAGLER DR STE 101
PALATKA, FL 32177
Putnam County (386) 325-2836
CECILIA PITTS APRN
Nurse Practitioner
205 ZEAGLER DR STE 101
PALATKA, FL 32177
Putnam County (386) 325-2836
CARY ROSE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
205 ZEAGLER DR STE 101
PALATKA, FL 32177
Putnam County (904) 493-3333

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 Andrea Leary's NPI number?

The NPI number for Andrea Leary is 1538692736. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Andrea Leary located?

Andrea Leary practices at 205 Zeagler Dr Ste 101, Palatka, FL 32177. The listed phone number is (386) 325-2836.

What is Andrea Leary's specialty?

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

Is Andrea Leary enrolled in Medicare?

Yes. Andrea Leary is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Leary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Leary reassigns Medicare benefits to 3 organizations: Express Family Care (Crescent City, FL), Haven Medical Group, LLC (Gainesville, FL) and Paragon Emergency Services LLC (Winter Haven, FL). 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 Andrea Leary'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 Andrea Leary was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.