| Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER | |
|
3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | |
| (818) 675-0386 | |
| Not Available |
| Full Name | Miss Ma Cornelia Villavicencio Leano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 3081 Stone Carriage Cir Apt Z, Fayetteville, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780179580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | LEAN-18CO92 (North Carolina) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | LEAN-18CO92 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Shelby, NC | Home health agency |
| Bayada Home Health Care, Inc | Salisbury, NC | Home health agency |
| Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
| Atrium Health Cleveland | Shelby, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Wh Southeast, Llc | 5496294456 | 194 |
| Eventus Wholehealth Pllc | 6002169539 | 309 |
| Optimed Hospitalists, Pllc | 8022204171 | 45 |
| Entity Name | Optimed Hospitalists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378 |
| Entity Name | Alignmed Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180131001329 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Entity Name | Eventus Value Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013680503 PECOS PAC ID: 1254736986 Enrollment ID: O20210818003793 |
| Entity Name | Eventus Wh Southeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487494811 PECOS PAC ID: 5496294456 Enrollment ID: O20240822002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304-5591 Ph: (818) 675-0386 | Miss Ma Cornelia Villavicencio Leano, NURSE PRACTITIONER 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 Ph: (818) 675-0386 |
Heather Mcphail Coaxum, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680 | |
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490 | |
Christine Elizabeth Arnold-recca, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Brookstone Ln Ste 101, Fayetteville, NC 28314 Phone: 910-306-5437 | |
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907 | |
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322 | |
Cheryl Nicole Fisher, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000 | |
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 |