BARRY ALLEN LEYDECKER JR. FNP-C
NPI 1588217392
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Barry Leydecker's NPI number?

The NPI number for Barry Leydecker is 1588217392. It was assigned to this individual provider in the NPPES registry on July 20, 2019.

Q: What is Barry Leydecker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Barry Leydecker was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 20, 2019PECOS Enrolled

6375 W CHARLESTON BLVD BLDG L, LAS VEGAS, NV 89146(702) 259-1903(702) 259-1907 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2020, Jul 20, 2019 (2 updates tracked since 2019).

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About Barry Allen Leydecker Jr. Fnp-c NPPES

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

BARRY ALLEN LEYDECKER JR. FNP-C (NPI 1588217392) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (817437) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1588217392

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBARRY ALLEN LEYDECKER JR.Credential: FNP-C

Location Address6375 W CHARLESTON BLVD BLDG LLas Vegas, NV 89146-1139

Mailing Address7139 S Durango Dr Unit 216Las Vegas, NV 89113-2081 · (702) 373-9169

Phone(702) 259-1903

Fax(702) 259-1907

Sole ProprietorNo

Enumeration DateJuly 20, 2019

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1588217392 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 NV · 817437

6375 W CHARLESTON BLVD BLDG L, Las Vegas, NV 89146

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Secondary Practice Location 1

Location 11725 S Rainbow Blvd Ste 18Las Vegas, NV 89146-0033 · Phone (702) 749-4949

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barry Allen Leydecker Jr. Fnp-c 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 Reassignment

Medicare enrollment records show Barry Leydecker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Accessible Space Inc.

Same address

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

6375 W CHARLESTON BLVD BLDG L
Las Vegas, NV 89146

Reassigned Medicare billing, Nevada enrollment

NPI 1710505946 (702) 259-1903

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 89146 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 9

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

CENTER FOR CREATIVE THERAPEUTIC ARTS

Community/Behavioral Health