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

Dr. Gwenn Leatherman

Individual provider Family Medicine Physician · NPI 1164875654

Dr. Gwenn Leatherman is a Nurse Practitioner in Hagerstown, Maryland. Qualified in 2016, 10 years ago. Practices with Meritus Medical Center Inc, a 746-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2016
Specialties on file
3

Practice location Address checks out

118 E Oak Ridge Dr Ste 2000
Hagerstown, MD 21740-7890
Phone: (016) 781-8393
Fax: (301) 679-1740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R185941 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence R185941 (MD)
Registered Nurse Taxonomy 163W00000X · Licence R185941 (MD)

Record details

NPI number1164875654
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Meritus Medical Center Inc — 746 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hagerstown