Leading Edge Healthcare, PLLC
NPI 1659017499ActiveOrganization· General Practice· Prescott, AZ
General Practice in Prescott, Arizona, registered in NPPES in May 2022. The authorized official on file is Jacob Kirkeeng, PA-C, Owner Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659017499 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2022 |
| Last updated in NPPES | Mar 22, 2023 |
| Certified by provider | Mar 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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