1. Home
  2. Directory
  3. Florida
  4. Trenton
  5. Nurse Practitioner
  6. NPI Profile

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

Active since August 01, 2023PECOS Enrolled
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: August 16, 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 is enrolled in Medicare PECOS and is a graduate of Other (2023).

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
Medical School CMSOtherGraduated 2023
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Leach Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486001179
PECOS Enrollment IDI20260720002741
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.

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?

Yes. Nicole Leach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Leach was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.