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

Leia Raphaelidis, NP

Individual provider Nurse Practitioner · NPI 1790851814

Leia Raphaelidis, NP is a Nurse Practitioner in Ithaca, New York. Qualified in 2002, 24 years ago. Practices with Reach Medical PLLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

620 W Seneca St
Ithaca, NY 14850-3326
Phone: (607) 273-1513
Fax: (607) 273-8776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F333784 (NY)

Record details

NPI number1790851814
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJune 25, 2014
Mailing address620 W Seneca St, Ithaca, NY 14850-3326

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Reach Medical Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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