ANN MARIE LEEDER FNP-BC
NPI 1790151355
Nurse Practitioner - Family in Kenosha, WI

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
3710 57TH AVE, KENOSHA, WI 53144(414) 526-9024 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2020, Jan 28, 2016 (2 updates tracked since 2016).

About Ann Marie Leeder Fnp-bc NPPES

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

ANN MARIE LEEDER FNP-BC (NPI 1790151355) is an individual family provider in Kenosha, Wisconsin, licensed in Wisconsin (6701) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790151355
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANN MARIE LEEDERCredential: FNP-BC
Location Address3710 57TH AVEKenosha, WI 53144-4820
Mailing Address3710 57th AveKenosha, WI 53144-4820 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 18, 2015
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
NPI 1790151355 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 WI · 6701
Also ListedRegistered NurseTaxonomy 163W00000X · License 169833 (WI)
3710 57TH AVE, Kenosha, WI 53144

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

Ann Marie Leeder Fnp-bc 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 ID6305140294
PECOS Enrollment IDI20160215000202
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.
53 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 11

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

Pharmacist
3710 57TH AVE
KENOSHA, WI 53144
Nurse Practitioner (Family)
3710 57TH AVE
KENOSHA, WI 53144
Pharmacist
3710 57TH AVE
KENOSHA, WI 53144
Pharmacy
3710 57TH AVE
KENOSHA, WI 53144
Nurse Practitioner (Family)
3710 57TH AVE, 3710 57TH AVE
KENOSHA, WI 53144
Nurse Practitioner (Family)
3710 57TH AVE
KENOSHA, WI 53144
Nurse Practitioner (Family)
3710 57TH AVE
KENOSHA, WI 53144
Pharmacy (Community/Retail Pharmacy)
3710 57TH AVE
KENOSHA, WI 53144

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 Ann Leeder's NPI number?

The NPI number for Ann Leeder is 1790151355. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Ann Leeder located?

Ann Leeder practices at 3710 57th Ave, Kenosha, WI 53144. The listed phone number is (414) 526-9024.

What is Ann Leeder's specialty?

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

Is Ann Leeder enrolled in Medicare?

Yes. Ann Leeder 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.

When was this NPI record last updated?

The NPPES record for Ann Leeder was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.