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JANELLE LEUSCHEN M.D., M.S.
NPI 1689028136
Family Medicine in Alexandria, VA

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
3610C KING ST, ALEXANDRIA, VA 22302(571) 800-2701 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Janelle Leuschen M.d., M.s. NPPES

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

JANELLE LEUSCHEN M.D., M.S. (NPI 1689028136) is an individual family medicine provider in Alexandria, Virginia, licensed in Virginia (0101267128) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689028136
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJANELLE LEUSCHENCredential: M.D., M.S.
Location Address3610C KING STAlexandria, VA 22302-1908
Mailing Address3610c King StAlexandria, VA 22302-1908 · (571) 800-2701
Phone(571) 800-2701
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 21, 2016
Last NPPES UpdateSeptember 13, 2019
✔ NPI 1689028136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101267128
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3610C KING ST, Alexandria, VA 22302
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Other Names 1

Former Name (1)Janelle Hinze

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Janelle Leuschen M.d., M.s. 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 ID4385970961
PECOS Enrollment IDI20251022004836
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

2

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

Medstar Medical Group II LLC
5.8 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Unmc Physicians
1,024 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
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.
23 services23 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
20 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22302 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 2

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

ANVITA PARHAR
Internal Medicine
3610C KING ST
ALEXANDRIA, VA 22302
Alexandria City (703) 845-2812
MEDSTAR MEDICAL GROUP II LLC
General Practice
3610C KING ST
ALEXANDRIA, VA 22302
Alexandria City (703) 845-2812

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 Janelle Leuschen's NPI number?

The NPI number for Janelle Leuschen is 1689028136. It was assigned to this individual provider in the NPPES registry on April 21, 2016. The provider is also known as Janelle Hinze.

Where is Janelle Leuschen located?

Janelle Leuschen practices at 3610C King St, Alexandria, VA 22302. The listed phone number is (571) 800-2701.

What is Janelle Leuschen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Janelle Leuschen enrolled in Medicare?

Yes. Janelle Leuschen 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.

Which organizations bill Medicare for Janelle Leuschen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janelle Leuschen reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Unmc Physicians (Omaha, NE). 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 Janelle Leuschen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janelle Leuschen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Janelle Leuschen 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 Janelle Leuschen affiliated with any hospitals?

According to CMS data, Janelle Leuschen is affiliated with The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for Janelle Leuschen was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.