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DR. LEESA JEFFRIES D.D.S
NPI 1831506609
Dentist - Pediatric Dentistry in Holyoke, MA

Active since July 14, 2014PECOS Enrolled
230 MAPLE ST STE 1, HOLYOKE, MA 01040(413) 420-2200(413) 539-9472 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2026, Mar 7, 2025 (2 updates tracked since 2025).

About Dr. Leesa Jeffries D.d.s NPPES

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

DR. LEESA JEFFRIES D.D.S (NPI 1831506609) is an individual pediatric dentistry provider in Holyoke, Massachusetts, licensed in Rhode Island (DEN03848) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnston, and is a graduate of University Of Tennessee Hsc College Of Dentistry (2014).

NPPES Registry Identity

NPI1831506609
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. LEESA JEFFRIESCredential: D.D.S
Location Address230 MAPLE ST STE 1Holyoke, MA 01040-5140
Mailing Address230 Maple St Ste 1Holyoke, MA 01040-5140 · (413) 420-2200
Phone(413) 420-2200
Fax(413) 539-9472
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee Hsc College Of DentistryGraduated 2014
Enumeration DateJuly 14, 2014
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1831506609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in RI · DEN03848
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DN1857147 (MA)
230 MAPLE ST STE 1, Holyoke, MA 01040
Open in Google Maps ↗

Secondary Practice Location 1

Location 11126 Hartford AveJohnston, RI 02919-7109 · Phone (401) 519-1940 · Fax (401) 351-6613

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leesa Jeffries D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971074147
PECOS Enrollment IDI20260609000752
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.

Medicare Billing Reassignment

Medicare enrollment records show Leesa Jeffries reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-County Community Action Agency
64 mi
Federally Qualified Health Center (FQHC)
1126 HARTFORD AVE
Johnston, RI 02919
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 clinicians in this Medicare group
NPI 1396780086 (401) 351-2750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 20

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

ELIZABETH POKU
Registered Nurse (Community Health)
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (413) 420-2200
MRS. THERESA SMITH MORAN RDH
Dental Hygienist
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (413) 420-2200
FAITH WOODSIDE
Nurse Practitioner (Family)
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (413) 420-2200
DR. CHITHU ABRAHAM DDS
Dentist
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (134) 420-2200
KIMBERLY CONTONIO
Pharmacist
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (413) 420-2200
VIRGINIA ANN CARMODY
Dietitian, Registered
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (413) 420-2281
DR. RIDDHI H BADAMIA BDS, MS, MPH
Dentist
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (973) 710-7745
CAROLINE KIRK
Registered Nurse
230 MAPLE ST STE 1
HOLYOKE, MA 01040
Hampden County (413) 420-1733

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 Leesa Jeffries's NPI number?

The NPI number for Leesa Jeffries is 1831506609. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Leesa Jeffries located?

Leesa Jeffries practices at 230 Maple St Ste 1, Holyoke, MA 01040. The listed phone number is (413) 420-2200.

What is Leesa Jeffries's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Leesa Jeffries enrolled in Medicare?

Yes. Leesa Jeffries is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leesa Jeffries's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leesa Jeffries reassigns Medicare benefits to Tri-County Community Action Agency (Johnston, RI). The 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 Leesa Jeffries's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leesa Jeffries accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 other insurers list Leesa Jeffries 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.

When was this NPI record last updated?

The NPPES record for Leesa Jeffries was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.