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

Leon Ross Aylett III, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1467917187

Leon Ross Aylett III, AGPCNP is a Nurse Practitioner in Council, Idaho. Qualified in 2022, 4 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

110 Illinois Ave
Council, ID 83612
Phone: (208) 849-3725
Fax: (844) 689-3409
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202208292NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 202208292-NP-PP (OR)

Record details

NPI number1467917187
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedFebruary 6, 2019
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Council