LEANDRA MARIE MCCUTCHEON NP
NPI 1619586203
Nurse Practitioner - Pediatrics in Glendale, AZ

Q: What is Leandra Mccutcheon's NPI number?

The NPI number for Leandra Mccutcheon is 1619586203. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Q: What is Leandra Mccutcheon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since July 29, 2020PECOS Enrolled

5555 W THUNDERBIRD RD, GLENDALE, AZ 85306(602) 865-5555 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2022, Jul 29, 2020 (2 updates tracked since 2020).

On this page

About Leandra Marie Mccutcheon Np NPPES

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

LEANDRA MARIE MCCUTCHEON NP (NPI 1619586203) is an individual pediatrics provider in Glendale, Arizona, licensed in Arizona (267906) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619586203

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLEANDRA MARIE MCCUTCHEONCredential: NP

Location Address5555 W THUNDERBIRD RDGlendale, AZ 85306-4622

Mailing Address5555 W Thunderbird RdGlendale, AZ 85306-4622 · (602) 865-5555

Phone(602) 865-5555

Sole ProprietorYes

Enumeration DateJuly 29, 2020

Last NPPES UpdateApril 9, 20222 updates tracked since enumeration

NPPES CertifiedApril 9, 2022

✔ NPI 1619586203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 267906

5555 W THUNDERBIRD RD, Glendale, AZ 85306

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leandra Marie Mccutcheon Np 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

Medicare enrollment records show Leandra Mccutcheon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner - University Super Specialists LLC

11 mi

Multi-Specialty

2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
88 clinicians in this Medicare group

NPI 1740650555 (602) 747-4000

Banner-University Medical Group

11 mi

Multi-Specialty

2901 N CENTRAL AVE
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
1,514 clinicians in this Medicare group

NPI 1508809427 (602) 747-4000

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 85306 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

DR. DAVID CONNOR M.D.

Emergency Medicine