MRS. JACQUELYN M LEAK-GILLISPIE NP-C
NPI 1831255330
Nurse Practitioner - Adult Health in Concord, NC
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacquelyn Leak-gillispie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 29 clinicians in this Medicare group
Charlotte, NC 28262
- Reassigned Medicare billing, North Carolina enrollment
- 1,212 clinicians in this Medicare group
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 300 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NCCarolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician 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.
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
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.
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.
Which organizations bill Medicare for Jacquelyn Leak-gillispie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Leak-gillispie reassigns Medicare benefits to 3 organizations: Northeast Anesthesia And Pain Specialists PA (Concord, NC), Chs Anesthesia Services Group Inc (Charlotte, NC) and Atrium Health Specialty Network Inc (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Leak-gillispie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Leak-gillispie accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare and 1 other insurer 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 3 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.
# Mrs. Jacquelyn M Leak-Gillispie, NP-C · NPI 1831255330
Adult Health physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1831255330 (Entity type: Individual)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5002506 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 CHURCH ST N, Concord, NC 28025-2927
- **Phone:** (704) 403-1430 · **Fax:** (704) 403-1158
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northeast Anesthesia And Pain Specialists PA (NPI 1386622231, Concord, NC); Chs Anesthesia Services Group Inc (NPI 1346649415, Charlotte, NC); Atrium Health Specialty Network Inc (NPI 1538975636, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** August 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1831255330) · Data from the CMS NPPES public registry.