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Active NPI 1790851814 Individual Practitioner Female Practitioner

Leia Raphaelidis , NP

Nurse Practitioner • Ithaca, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Leia Raphaelidis, NP is a certified Nurse Practitioner practicing in Ithaca, NY. With approximately 24 years of clinical experience since completing medical education in 2002, Leia Raphaelidis delivers high-quality medical care to the local community at 620 W SENECA ST.

Leia Raphaelidis is affiliated with Reach Medical Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

620 W Seneca St

Ithaca, NY 148503326

Telephone 6072731513
Fax 6072738776
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ithaca, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +11.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Ithaca, NY (3155 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raphaelidis (24 Years) 24 Yrs
Ithaca Specialty Average (12.5 Years) 12.5 Yrs

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY F333784

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00362863 (NY)

Hospital & Practice Group Affiliations

Reach Medical Pllc

402 N Cayuga St, Ithaca, NY 148504291

Phone: 6072737000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Mary Clapp , NP

Nurse Practitioner - Women's Health

NPI 1104980515

Nurse Practitioner

Marcy Schaeffer , NP

Nurse Practitioner

NPI 1134297633

Nurse Practitioner

NPI 1265509699

Certified Nurse Midwife

Julia Parete , NP

Nurse Practitioner - Women's Health

NPI 1558423343

Nurse Practitioner

Dana Dicostanzo , NP

Nurse Practitioner

NPI 1558437715

Nurse Practitioner

Tania Villa

Physician Assistant

NPI 1558539783

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2014

Registered at 620 W SENECA ST, ITHACA, NY 148503326 (Tel: 6072731513)

📍
Updated Business Mailing Address June 25, 2014

Registered at 620 W SENECA ST, ITHACA, NY 148503326 (Tel: 6072731513)

👤
Provider Name / Credentials Updated June 25, 2014

Recorded as LEIA RAPHAELIDIS, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2014

Nurse Practitioner (License #F333784 in NY)

🟢
Initial NPI Registration & Enumeration November 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790851814
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2006
Last Update: June 25, 2014
Sole Proprietor: No

Mailing Address

620 W Seneca St

Ithaca, NY 148503326

Phone: 6072731513

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.