Cristi D Leeberg (NPI# 1982971404, PAC ID# 3173782216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982971404 |
| PAC ID by PECOS | 3173782216 |
| Professional Enrollment ID | I20120309000389 |
| Full Name | Cristi D Leeberg |
| Organization Legal Name | PRACTITIONERS IN MOTION PLLC |
| Address |
2263 W New Haven Ave Suite 350 West Melbourne FL 32904-3805 |
| Phone Number | 3212162288 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335456755 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2263 W New Haven Ave, Suite 350, West Melbourne, FL 32904-3805 | 3212162288 | PRACTITIONERS IN MOTION PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PRACTITIONERS IN MOTION PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami Jean Leeberg | Nurse Practitioner | Practitioners In Motion Pllc | 2263 W New Haven Ave, Suite 350, West Melbourne, FL 32904-3805 |
| Street Address |
2263 W NEW HAVEN AVE SUITE 350 |
| City | WEST MELBOURNE |
| State | FL |
| Zip | 32904-3805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami Jean Leeberg | Nurse Practitioner | Practitioners In Motion Pllc | 2263 W New Haven Ave, Suite 350, West Melbourne, FL 32904-3805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Brad E Mccollom | Neurosurgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 | |
| Robert J Kennedy | Diagnostic Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Find all physicians in zip 32904 | |||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST MELBOURNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Cristi D Leeberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.