LEAH SEMKO APN, PMHNP-BC
NPI 1811357197
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since March 01, 2016PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
2653 W OGDEN AVE, CHICAGO, IL 60608(773) 257-5300 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2020, Mar 1, 2016 (2 updates tracked since 2016).

About Leah Semko Apn, Pmhnp-bc NPPES

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

LEAH SEMKO APN, PMHNP-BC (NPI 1811357197) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209013692) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1811357197
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLEAH SEMKOCredential: APN, PMHNP-BC
Location Address2653 W OGDEN AVEChicago, IL 60608-1647
Mailing Address1501 S Californa AveChicago, IL 60608-1732 · (773) 257-6655
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 1, 2016
Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
NPI 1811357197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209013692
2653 W OGDEN AVE, Chicago, IL 60608

Other Names 1

Former Name (1)Leah Shaffer

Secondary Practice Location 1

Location 11501 S Californa AveChicago, IL 60608-1732 · Phone (773) 257-6655

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

Leah Semko Apn, Pmhnp-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 ID7517264302
PECOS Enrollment IDI20160322001232
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

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.
135 services32 patients

Hospital Affiliations CMS Care Compare

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

Dietitian, Registered
2653 W OGDEN AVE
CHICAGO, IL 60608
Clinic/Center (Multi-Specialty)
2653 W OGDEN AVE, 3RD FLOOR SUITE A
CHICAGO, IL 60608
Dietitian, Registered
2653 W OGDEN AVE
CHICAGO, IL 60608
Family Medicine
2653 W OGDEN AVE
CHICAGO, IL 60608
Dietitian, Registered
2653 W OGDEN AVE, SUITE 3A
CHICAGO, IL 60608
Obstetrics & Gynecology
2653 W OGDEN AVE, SUITE 3B
CHICAGO, IL 60608
Social Worker (Clinical)
2653 W OGDEN AVE, 2ND FLOOR
CHICAGO, IL 60608
Dietitian, Registered
2653 W OGDEN AVE
CHICAGO, IL 60608

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 Leah Semko's NPI number?

The NPI number for Leah Semko is 1811357197. It was assigned to this individual provider in the NPPES registry on March 1, 2016. The provider is also known as Leah Shaffer.

Where is Leah Semko located?

Leah Semko practices at 2653 W Ogden Ave, Chicago, IL 60608. The listed phone number is (773) 257-5300.

What is Leah Semko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Leah Semko enrolled in Medicare?

Yes. Leah Semko 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 Leah Semko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Leah Semko 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 Leah Semko affiliated with any hospitals?

According to CMS data, Leah Semko is affiliated with Mt Sinai Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Leah Semko was last updated on March 16, 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.