LEON CARROLL COODY JR. FNP
NPI 1881102168
Nurse Practitioner in Goshen, IN

Q: What is Leon Coody's NPI number?

The NPI number for Leon Coody is 1881102168. It was assigned to this individual provider in the NPPES registry on January 20, 2018.

Q: What is Leon Coody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Leon Coody was last updated on August 8, 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.

Active since January 20, 2018PECOS EnrolledAccepts Medicare Assignment

200 HIGH PARK AVE, GOSHEN, IN 46526(574) 364-2673 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Jan 19, 2021, Mar 12, 2018 and 1 more (4 updates tracked since 2018).

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About Leon Carroll Coody Jr. Fnp NPPES

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

LEON CARROLL COODY JR. FNP (NPI 1881102168) is an individual nurse practitioner in Goshen, Indiana, licensed in Indiana (71007856A) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1881102168

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameLEON CARROLL COODY JR.Credential: FNP

Location Address200 HIGH PARK AVEGoshen, IN 46526-4810

Mailing Address19670 Us Highway 20Bristol, IN 46507-8945 · (574) 536-8051 · Fax (574) 343-1990

Phone(574) 364-2673

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 20, 2018

Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1881102168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71007856A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

200 HIGH PARK AVE, Goshen, IN 46526

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Leon Carroll Coody Jr. Fnp 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 ID4284996620

PECOS Enrollment IDI20180322001112

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 Leon Coody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goshen Health System Inc

0.1 mi

Family Medicine

1701 S MAIN ST
Goshen, IN 46526

Reassigned Medicare billing, Indiana enrollment
149 clinicians in this Medicare group

NPI 1194772293 (574) 364-2592

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 5

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

330 services227 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

164 services50 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

108 services79 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

18 services16 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

17 services16 patients

Hospital Affiliations CMS Care Compare

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

Goshen Hospital

Acute Care Hospitals · Goshen, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150026

Location200 High Park AveGoshen, IN 46526 · Elkhart County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

JOHNATHON THOMAS CLIFTON

Physician Assistant