MS. JODY J LEISHOLMN PA-C
NPI 1922196468
Physician Assistant - Medical in Metlakatla, AK
About Ms. Jody J Leisholmn Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JODY J LEISHOLMN PA-C (NPI 1922196468) is an individual medical provider in Metlakatla, Alaska, licensed in Alaska (698) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jody J Leisholmn Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jody Leisholmn's NPI number?
The NPI number for Jody Leisholmn is 1922196468. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Jody Leisholmn located?
Jody Leisholmn practices at 563 Brendible St., Metlakatla, AK 99926. The listed phone number is (907) 886-4741.
What is Jody Leisholmn's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jody Leisholmn enrolled in Medicare?
Yes. Jody Leisholmn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jody Leisholmn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Jody J Leisholmn, PA-C · NPI 1922196468
Medical physician in Metlakatla, Alaska. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1922196468 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 698 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 563 BRENDIBLE ST., Metlakatla, AK 99926
- **Phone:** (907) 886-4741
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 8HF099 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1922196468) · Data from the CMS NPPES public registry.