KELLY MARIE LEACH FNP-C
NPI 1972836385
Nurse Practitioner - Family in Grand Forks, ND

Active since September 16, 2009PECOS EnrolledAccepts Medicare Assignment
1300 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-2300 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Marie Leach Fnp-c NPPES

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

KELLY MARIE LEACH FNP-C (NPI 1972836385) is an individual family provider in Grand Forks, North Dakota, licensed in North Dakota (R29405) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972836385
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE LEACHCredential: FNP-C
Location Address1300 S COLUMBIA RDGrand Forks, ND 58201
Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 16, 2009
Last NPPES UpdateFebruary 28, 2019
NPI 1972836385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in ND · R29405 Licensed in MN · R156241-1
1300 S COLUMBIA RD, Grand Forks, ND 58201

Other Names 1

Former Name (1)Kelly Marie Liedberg

Accepted 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

Kelly Marie Leach Fnp-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.

PECOS PAC ID9931248218
PECOS Enrollment IDI20091125000608, I20150303000846
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.

Hospital Affiliations CMS Care Compare 2

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

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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.

Occupational Therapist
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Internal Medicine (Nephrology)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Prosthetic/Orthotic Supplier
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Psychiatry & Neurology (Neurology)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Internal Medicine (Pulmonary Disease)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Clinic/Center
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapist
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Practitioner (Family)
1300 S COLUMBIA RD
GRAND FORKS, ND 58201

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 Kelly Leach's NPI number?

The NPI number for Kelly Leach is 1972836385. It was assigned to this individual provider in the NPPES registry on September 16, 2009. The provider is also known as Kelly Marie Liedberg.

Where is Kelly Leach located?

Kelly Leach practices at 1300 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-2300.

What is Kelly Leach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Leach enrolled in Medicare?

Yes. Kelly Leach 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 Kelly Leach accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Kelly Leach 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 Kelly Leach affiliated with any hospitals?

According to CMS data, Kelly Leach is affiliated with Lifecare Medical Center and Altru Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Leach was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.