MRS. JACQUELYN M LEAK-GILLISPIE NP-C
NPI 1831255330
Nurse Practitioner - Adult Health in Concord, NC

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment
920 CHURCH ST N, CONCORD, NC 28025(704) 403-1430(704) 403-1158 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2023, Mar 7, 2023, Feb 22, 2022 (3 updates tracked since 2022).

About Mrs. Jacquelyn M Leak-gillispie Np-c NPPES

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

MRS. JACQUELYN M LEAK-GILLISPIE NP-C (NPI 1831255330) is an individual adult health provider in Concord, North Carolina, licensed in North Carolina (5002506) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1831255330
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. JACQUELYN M LEAK-GILLISPIECredential: NP-C
Location Address920 CHURCH ST NConcord, NC 28025-2927
Mailing AddressPo Box 2000Concord, NC 28026-2000 · (704) 403-1430 · Fax (704) 403-1158
Fax(704) 403-1158
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1831255330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NC · 5002506
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License 5002506 (NC)
920 CHURCH ST N, Concord, NC 28025

Other Names 1

Former Name (1)Jacquelyn M Leak Np-c

Secondary Practice Location 1

Location 11085 NE Gateway Ct NEConcord, NC 28025-2406 · Phone (704) 403-2525

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

Mrs. Jacquelyn M Leak-gillispie Np-c 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 ID8820191893
PECOS Enrollment IDI20070312000406
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 2

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.
352 services128 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%235 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Internal Medicine (Critical Care Medicine)
920 CHURCH ST N
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
920 CHURCH ST N
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Home Health
920 CHURCH ST N
CONCORD, NC 28025

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 Jacquelyn Leak-gillispie's NPI number?

The NPI number for Jacquelyn Leak-gillispie is 1831255330. It was assigned to this individual provider in the NPPES registry on December 29, 2006. The provider is also known as Jacquelyn M Leak Np-C.

Where is Jacquelyn Leak-gillispie located?

Jacquelyn Leak-gillispie practices at 920 Church St N, Concord, NC 28025. The listed phone number is (704) 403-1430.

What is Jacquelyn Leak-gillispie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacquelyn Leak-gillispie enrolled in Medicare?

Yes. Jacquelyn Leak-gillispie 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 Jacquelyn Leak-gillispie accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Jacquelyn Leak-gillispie 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 Jacquelyn Leak-gillispie affiliated with any hospitals?

According to CMS data, Jacquelyn Leak-gillispie is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Jacquelyn Leak-gillispie was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.