ERICA LEACH APRN
NPI 1669118550
Nurse Practitioner in Fairmont, WV

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1325 LOCUST AVE, FAIRMONT, WV 26554(304) 534-7810 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erica Leach Aprn NPPES

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

ERICA LEACH APRN (NPI 1669118550) is an individual nurse practitioner in Fairmont, West Virginia, licensed in West Virginia (112671) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669118550
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERICA LEACHCredential: APRN
Location Address1325 LOCUST AVEFairmont, WV 26554-1435
Mailing Address1325 Locust AveFairmont, WV 26554-1435
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 12, 2022
NPPES CertifiedMay 12, 2022
NPI 1669118550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WV · 112671
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.
1325 LOCUST AVE, Fairmont, WV 26554

Accepted Insurance

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

Erica Leach Aprn 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 ID4082096433
PECOS Enrollment IDI20220801002362
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services14 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
1325 LOCUST AVE
FAIRMONT, WV 26554
Nurse Practitioner (Family)
1325 LOCUST AVE
FAIRMONT, WV 26554
Emergency Medicine
1325 LOCUST AVE
FAIRMONT, WV 26554
Internal Medicine (Pulmonary Disease)
1325 LOCUST AVE, SUITE 35
FAIRMONT, WV 26554
Home Health
1325 LOCUST AVE
FAIRMONT, WV 26554
Pharmacy (Community/Retail Pharmacy)
1325 LOCUST AVE
FAIRMONT, WV 26554
Pharmacy (Institutional Pharmacy)
1325 LOCUST AVE
FAIRMONT, WV 26554
Clinical Medical Laboratory
1325 LOCUST AVE
FAIRMONT, WV 26554

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 Erica Leach's NPI number?

The NPI number for Erica Leach is 1669118550. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Erica Leach located?

Erica Leach practices at 1325 Locust Ave, Fairmont, WV 26554. The listed phone number is (304) 534-7810.

What is Erica Leach's specialty?

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

Is Erica Leach enrolled in Medicare?

Yes. Erica Leach 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.

What insurance does Erica Leach accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Erica Leach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erica Leach affiliated with any hospitals?

According to CMS data, Erica Leach is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Erica Leach was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.