Mrs Jacquelyn M Leak-gillispie, NP-C in Concord, NC

Mrs Jacquelyn M Leak-gillispie, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Concord, North Carolina. She graduated from nursing school in 2006 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Anesthesia And Pain Specialists Pa and her current practice location is 920 Church St N, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-1430.

Mrs Jacquelyn M Leak-gillispie is licensed to practice in North Carolina (license number 5002506) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831255330.

Contact Information

	Mrs Jacquelyn M Leak-gillispie, NP-C
	920 Church St N, Concord, NC 28025-2927
	(704) 403-1430
	(704) 403-1158

Map and Direction

Provider's Profile

Full Name	Mrs Jacquelyn M Leak-gillispie
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	920 Church St N, Concord, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jacquelyn M Leak-gillispie graduated from nursing school in 2006

NPI Data:

NPI Number: 1831255330
Provider Enumeration Date: 12/29/2006
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8820191893
Enrollment ID: I20070312000406

Medical Identifiers

Medical identifiers for Mrs Jacquelyn M Leak-gillispie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831255330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0000X	Registered Nurse - Pain Management	5002506 (North Carolina)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	5002506 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-northeast	Concord, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Anesthesia And Pain Specialists Pa	0042102170	12

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jacquelyn M Leak-gillispie allows following entities to bill medicare on her behalf.

Entity Name	Northeast Anesthesia And Pain Specialists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386622231 PECOS PAC ID: 0042102170 Enrollment ID: O20040325000701

Entity Name	Chs Anesthesia Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacquelyn M Leak-gillispie is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jacquelyn M Leak-gillispie, NP-C Po Box 2000, Concord, NC 28026-2000 Ph: (704) 403-1430	Mrs Jacquelyn M Leak-gillispie, NP-C 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-1430

Reviews and Comments

Nurse Practitioner Nurses in Concord, NC

Lori Lovett Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Mrs. Laura Hudson Werner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Poplar Tent Rd, Concord, NC 28027 Phone: 704-782-1727
Jason K Freeburne, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Temple Britt Byrd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
John Emmett Fesperman, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Kimberly Smith Gallagher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158
Jackie B Pace, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158

Mrs Jacquelyn M Leak-gillispie, NP-C - Medicare Nurse Practitioner in Concord, NC