NICHOLE LEATHERWOOD NP
NPI 1831649045
Nurse Practitioner - Family in San Antonio, TX

Active since October 12, 2016PECOS EnrolledAccepts Medicare Assignment
1139 E SONTERRA BLVD, #205, SAN ANTONIO, TX 78258(210) 614-2229 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole Leatherwood Np NPPES

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

NICHOLE LEATHERWOOD NP (NPI 1831649045) is an individual family provider in San Antonio, Texas, licensed in Texas (AP132132) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831649045
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLE LEATHERWOODCredential: NP
Location Address1139 E SONTERRA BLVD, #205San Antonio, TX 78258-4347
Mailing Address336 Rose Garden DrLa Vernia, TX 78121-4763 · (512) 563-0597
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 12, 2016
NPI 1831649045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP132132
1139 E SONTERRA BLVD, San Antonio, TX 78258

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

Nichole Leatherwood Np 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 ID8729349691
PECOS Enrollment IDI20180312000406
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Rehabilitation Unit
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Nurse Practitioner (Acute Care)
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Physical Therapist
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Pharmacist (Geriatric)
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258
Internal Medicine
1139 E SONTERRA BLVD, SUITE #405
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, SUITE 500
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, STE 500
SAN ANTONIO, TX 78258
Nurse Practitioner (Acute Care)
1139 E SONTERRA BLVD
SAN ANTONIO, TX 78258

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 Nichole Leatherwood's NPI number?

The NPI number for Nichole Leatherwood is 1831649045. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Nichole Leatherwood located?

Nichole Leatherwood practices at 1139 E Sonterra Blvd #205, San Antonio, TX 78258. The listed phone number is (210) 614-2229.

What is Nichole Leatherwood's specialty?

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

Is Nichole Leatherwood enrolled in Medicare?

Yes. Nichole Leatherwood 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 Nichole Leatherwood was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.