Individual provider Active NPI

Leslie Ewens, APRN, CNP

  • Women's Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1003162462
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
9015 Issued in MN
Practice address
671 Vandalia St
Saint Paul, MN 55114-1312
Phone
(651) 698-2406
NPI assigned
Aug 2, 2012
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 9015 MN Primary

Addresses

Primary practice location

671 Vandalia St
Saint Paul, MN 55114-1312

Mailing address

671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929001171 MN Practitioner - Nurse Practitioner 1254785876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Sep 22, 2023 Accepting new patients
Planned Parenthood of Wisconsin Past Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota Past Accepting new patients

Locations

15322 Galaxie Ave
Ste 105
Apple Valley, MN 55124
Phone (952) 890-0940

1001 E Central Entrance
Ste 20
Duluth, MN 55811

91 Viking Dr W
Little Canada, MN 55117
Phone (651) 489-1328

201 N Victory Dr
Ste 211
Mankato, MN 56001
Phone (507) 387-5581

1200 Lagoon Ave
Minneapolis, MN 55408
Phone (612) 823-6300

7532 Brooklyn Blvd
Minneapolis, MN 55443
Phone (763) 560-1555

6527 Lyndale Ave S
Richfield, MN 55423
Phone (612) 874-1420

15322 Galaxie Ave
Saint Paul, MN 55124

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

1795 Radio Dr
Ste D
Woodbury, MN 55125
Phone (651) 696-5550

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1003162462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "651-698-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "651-698-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWENS",
        "first_name": "LESLIE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2022-03-03",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "9015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.