LEAH MICHELLE BAGLEY NP-C
NPI 1962030809
Nurse Practitioner - Family in Shaw Afb, SC
About Leah Michelle Bagley Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEAH MICHELLE BAGLEY NP-C (NPI 1962030809) is an individual family provider in Shaw Afb, South Carolina, licensed in South Carolina (24751) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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 Michelle Bagley Np-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHAW AFB, SC 29152
SHAW AFB, SC 29152
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 Bagley's NPI number?
The NPI number for Leah Bagley is 1962030809. It was assigned to this individual provider in the NPPES registry on March 27, 2020.
Where is Leah Bagley located?
Leah Bagley practices at 420 Polifka Dr, Shaw Afb, SC 29152. The listed phone number is (803) 895-6191.
What is Leah Bagley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Leah Bagley enrolled in Medicare?
Yes. Leah Bagley 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.
When was this NPI record last updated?
The NPPES record for Leah Bagley was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Leah Michelle Bagley, NP-C · NPI 1962030809
Family physician in Shaw Afb, South Carolina. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1962030809 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 24751 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 POLIFKA DR, Shaw Afb, SC 29152-5100
- **Phone:** (803) 895-6191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962030809) · Data from the CMS NPPES public registry.