ANNE LEALI
NPI 1962639971
Nurse Practitioner in Grove City, PA

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
420 HILLCREST AVE, GROVE CITY, PA 16127(724) 458-4950 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Jan 19, 2021 (2 updates tracked since 2021).

About Anne Leali NPPES

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

ANNE LEALI (NPI 1962639971) is an individual nurse practitioner in Grove City, Pennsylvania, licensed in Pennsylvania (SP010285) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1962639971
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNE LEALI
Location Address420 HILLCREST AVEGrove City, PA 16127-1708
Mailing Address420 Hillcrest AveGrove City, PA 16127-1708
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 17, 2009
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1962639971 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 PA · SP010285
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.
420 HILLCREST AVE, Grove City, PA 16127

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

Anne Leali 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 ID9830242403
PECOS Enrollment IDI20090729000446
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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
200 services91 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
111 services44 patients
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.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16127 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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches E2201
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$28.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Family Medicine
420 HILLCREST AVE
GROVE CITY, PA 16127
Family Medicine
420 HILLCREST AVE
GROVE CITY, PA 16127
Physician Assistant (Medical)
420 HILLCREST AVE
GROVE CITY, PA 16127
Family Medicine
420 HILLCREST AVE
GROVE CITY, PA 16127
Family Medicine
420 HILLCREST AVE
GROVE CITY, PA 16127
Physician Assistant
420 HILLCREST AVE
GROVE CITY, PA 16127
Physician Assistant
420 HILLCREST AVE
GROVE CITY, PA 16127
Family Medicine
420 HILLCREST AVE
GROVE CITY, PA 16127

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 Anne Leali's NPI number?

The NPI number for Anne Leali is 1962639971. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Anne Leali located?

Anne Leali practices at 420 Hillcrest Ave, Grove City, PA 16127. The listed phone number is (724) 458-4950.

What is Anne Leali's specialty?

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

Is Anne Leali enrolled in Medicare?

Yes. Anne Leali 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.

Is Anne Leali affiliated with any hospitals?

According to CMS data, Anne Leali is affiliated with Butler Memorial Hospital, Upmc Horizon and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Anne Leali was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.