DR. LEAH STETZEL
NPI 1962019984
Dentist - Orthodontics and Dentofacial Orthopedics in Fort Wayne, IN

Active since September 24, 2020PECOS Enrolled
223 E TILLMAN RD, FORT WAYNE, IN 46816(260) 447-2568 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2023, Sep 24, 2020 (2 updates tracked since 2020).

About Dr. Leah Stetzel NPPES

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

DR. LEAH STETZEL (NPI 1962019984) is an individual orthodontics and dentofacial orthopedics provider in Fort Wayne, Indiana, licensed in Indiana (12013400A) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962019984
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. LEAH STETZEL
Location Address223 E TILLMAN RDFort Wayne, IN 46816-1079
Mailing Address223 E Tillman RdFort Wayne, IN 46816-1079 · (260) 447-2568
Sole ProprietorNo
Enumeration DateSeptember 24, 2020
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1962019984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses✔ Licensed in IN · 12013400A✔ Licensed in OH · 30.027896✔ Licensed in AZ · D011588
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License RES.004246 (OH)
223 E TILLMAN RD, Fort Wayne, IN 46816

Secondary Practice Locations 3

Location 15215 N Bend DrFort Wayne, IN 46804-1651 · Phone (260) 447-2568
Location 21167 Westwood Dr Ste 100Van Wert, OH 45891-2488 · Phone (260) 447-2568
Location 3402 E Baldwin AvePaulding, OH 45879-1107 · Phone (260) 447-2568

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leah Stetzel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Multi-Specialty
2600 N WYATT DR
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 138 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46816 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
223 E TILLMAN RD
FORT WAYNE, IN 46816
Dentist (Orthodontics and Dentofacial Orthopedics)
223 E TILLMAN RD
FORT WAYNE, IN 46816

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 Stetzel's NPI number?

The NPI number for Leah Stetzel is 1962019984. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Leah Stetzel located?

Leah Stetzel practices at 223 E Tillman Rd, Fort Wayne, IN 46816. The listed phone number is (260) 447-2568.

What is Leah Stetzel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Leah Stetzel enrolled in Medicare?

Yes. Leah Stetzel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leah Stetzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Stetzel reassigns Medicare benefits to Children's Clinics For Rehabilitative Services (Tucson, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leah Stetzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leah Stetzel accept?

Health plans from Blue Cross Blue Shield of Arizona, HRI Dental & Vision and Paramount list Leah Stetzel 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.

When was this NPI record last updated?

The NPPES record for Leah Stetzel was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.