Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ann Marie Leeder, FNP-BC

Individual provider Registered Nurse · NPI 1790151355

Ann Marie Leeder, FNP-BC is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2015, 11 years ago. Practices with Minuteclinic Diagnostic of Wisconsin LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

3710 57th Ave
Kenosha, WI 53144-4820
Phone: (414) 526-9024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6701 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 169833 (WI)

Record details

NPI number1790151355
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Minuteclinic Diagnostic Of Wisconsin Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kenosha