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LEAH FREY CRNP
NPI 1891173951
Nurse Practitioner in Reading, PA

Active since May 09, 2015PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
SIXTH AVENUE AND SPRUCE STREET, READING, PA 19611(484) 628-5455 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2015, Oct 2, 2015 (2 updates tracked since 2015).

About Leah Frey Crnp NPPES

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

LEAH FREY CRNP (NPI 1891173951) is an individual nurse practitioner in Reading, Pennsylvania, licensed in Pennsylvania (SP015014) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891173951
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLEAH FREYCredential: CRNP
Location AddressSIXTH AVENUE AND SPRUCE STREETReading, PA 19611
Mailing AddressPo Box 16052Reading, PA 19612-6052 · (484) 628-5455
Phone(484) 628-5455
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 9, 2015
Last NPPES UpdateNovember 24, 20152 updates tracked since enumeration
✔ NPI 1891173951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP015014
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN517246L (PA)
SIXTH AVENUE AND SPRUCE STREET, Reading, PA 19611
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Leah Frey Crnp 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 ID7214247592
PECOS Enrollment IDI20151117002488
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.

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
220 services107 patients
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.
126 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Other Providers at the Same Location NPPES 4

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

JAMIE SHELDON CRNA
Nurse Anesthetist, Certified Registered
SIXTH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (484) 628-8269
MS. PUJA KALIA PA-C
Physician Assistant (Medical)
SIXTH AVENUE AND SPRUCE STREET, READING HOSPITAL
WEST READING, PA 19611
Berks County (484) 628-8274
DR. VICKY MUKESHCHANDRA CHAMPANERIA M.D.
Internal Medicine
SIXTH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (484) 628-5455
MARGARET CONDRON CAPOFERRI P.T.
Physical Therapist
SIXTH AVENUE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (610) 988-4561

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 Frey's NPI number?

The NPI number for Leah Frey is 1891173951. It was assigned to this individual provider in the NPPES registry on May 9, 2015.

Where is Leah Frey located?

Leah Frey practices at Sixth Avenue And Spruce Street, Reading, PA 19611. The listed phone number is (484) 628-5455.

What is Leah Frey's specialty?

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

Is Leah Frey enrolled in Medicare?

Yes. Leah Frey 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.

What insurance does Leah Frey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Leah Frey 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 Leah Frey affiliated with any hospitals?

According to CMS data, Leah Frey is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Leah Frey was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.