Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEAH MARY GEOGHEGAN AGNP-C, FMCP-M
NPI 1851813117
Nurse Practitioner - Gerontology in New York, NY

Active since July 07, 2017Opted out of Medicare · through Nov 10, 2026
347 FIFTH AVE, SUITE 1402-342, NEW YORK, NY 10016(646) 849-2782(646) 349-0133 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, May 9, 2023, Mar 25, 2021 and 4 more (7 updates tracked since 2017).

About Leah Mary Geoghegan Agnp-c, Fmcp-m NPPES

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

LEAH MARY GEOGHEGAN AGNP-C, FMCP-M (NPI 1851813117) is an individual gerontology provider in New York, New York, licensed in New York (308726) and active in the NPI registry since July 2017. She has opted out of Medicare through November 10, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851813117
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLEAH MARY GEOGHEGANCredential: AGNP-C, FMCP-M
Location Address347 FIFTH AVE, SUITE 1402-342New York, NY 10016-5034
Mailing Address347 5th Ave Ste 1402-342New York, NY 10016-5010 · (646) 849-2782 · Fax (646) 349-0133
Fax(646) 349-0133
Sole ProprietorNo
Enumeration DateJuly 7, 2017
Last NPPES UpdateAugust 5, 20267 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
NPI 1851813117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NY · 308726
Also ListedRegistered NurseTaxonomy 163W00000X · License 207439 (CT)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 688126 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11894 (CT)
347 FIFTH AVE, New York, NY 10016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Leah Mary Geoghegan Agnp-c, Fmcp-m has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2020 through November 10, 2026.

Opt-Out Effective DateNovember 10, 2020
Opt-Out In Effect ThroughNovember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

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

Clinic/Center (Primary Care)
347 FIFTH AVE, SUITE 1402
NEW YORK, NY 10016

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 Geoghegan's NPI number?

The NPI number for Leah Geoghegan is 1851813117. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Leah Geoghegan located?

Leah Geoghegan practices at 347 Fifth Ave Suite 1402-342, New York, NY 10016. The listed phone number is (646) 849-2782.

What is Leah Geoghegan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Leah Geoghegan enrolled in Medicare?

No. Leah Geoghegan has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Leah Geoghegan was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.