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NICOLE LEACH APRN
NPI 1780366740
Nurse Practitioner - Family in Trenton, FL

Active since August 01, 2023Opted out of Medicare · through Apr 1, 2028
9910 S SANTA FE AVE, TRENTON, FL 32693(352) 215-1091(352) 741-5750 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2026, Oct 3, 2023 (2 updates tracked since 2023).

About Nicole Leach Aprn NPPES

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

NICOLE LEACH APRN (NPI 1780366740) is an individual family provider in Trenton, Florida, licensed in Florida (APRN11028993) and active in the NPI registry since August 2023. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780366740
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LEACHCredential: APRN
Location Address9910 S SANTA FE AVETrenton, FL 32693-2624
Mailing Address9910 S Santa Fe AveTrenton, FL 32693-2624 · (352) 215-1091 · Fax (352) 741-5750
Phone(352) 215-1091
Fax(352) 741-5750
Sole ProprietorNo
Enumeration DateAugust 1, 2023
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1780366740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11028993
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9341468 (FL)
9910 S SANTA FE AVE, Trenton, FL 32693
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Leach Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32693 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

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

ON THE MEND MOBILE IV THERAPY & WELLNESS, LLC
Nurse Practitioner (Family)
9910 S SANTA FE AVE
TRENTON, FL 32693
Gilchrist County (352) 215-1091

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 Nicole Leach's NPI number?

The NPI number for Nicole Leach is 1780366740. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Nicole Leach located?

Nicole Leach practices at 9910 S Santa Fe Ave, Trenton, FL 32693. The listed phone number is (352) 215-1091.

What is Nicole Leach's specialty?

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

Is Nicole Leach enrolled in Medicare?

No. Nicole Leach has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicole Leach was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.