Individual provider Active NPI

Leslie A Strodtbeck, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Wellington, OH
National Provider Identifier
1003384207
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022900 Issued in OH
Practice address
840 Patriot Dr
Wellington, OH 44090-8948
Phone
(440) 647-2225
Fax
(440) 647-5110
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022900 OH Primary

Addresses

Primary practice location

840 Patriot Dr
Wellington, OH 44090-8948

Mailing address

578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 988-1009

Other practice location 1

1120 E Broad St
Elyria, OH 44035-6306
Phone (440) 365-2600

Other practice location 2

1607 State Rd Ste 6
Vermilion, OH 44089-9142
Phone (440) 967-8713

Other identifiers 1

IdentifierTypeStateIssuer
0326578MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190117002484 OH Practitioner - Nurse Practitioner 2264778877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health-Allen Hospital LLCGroup PAC ID 5092802389, 14 clinicians

Practice addresses (Care Compare)

840 Patriot Dr
Wellington, OH 44090-8948
Phone (440) 647-2225

Hospital & facility affiliations

  • Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022900OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians, Lorain, LLC CurrentSince Nov 12, 2018 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Nov 12, 2018 Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince Nov 12, 2018 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Nov 12, 2018 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1813 Nagel Rd
Ste 500
Avon, OH 44011
Phone (440) 324-0400

1120 E Broad St
Elyria, OH 44035
Phone (440) 365-2600

105 Opportunity Way
Lagrange, OH 44050
Phone (440) 222-4160

1607 State Route 60
Ste 6
Vermilion, OH 44089
Phone (440) 934-8344

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: lstrodtbeck518789@direct.bsmhealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1003384207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011131",
            "telephone_number": "440-988-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PATRIOT DR",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440908948",
            "telephone_number": "440-647-2225",
            "fax_number": "440-647-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Elyria",
            "state": "OH",
            "postal_code": "440356306",
            "country_code": "US",
            "telephone_number": "440-365-2600",
            "fax_number": "440-366-5543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 State Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Vermilion",
            "state": "OH",
            "postal_code": "440899142",
            "country_code": "US",
            "telephone_number": "440-967-8713",
            "fax_number": "440-967-1938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRODTBECK",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326578",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, OH

Sources for this page

Verify at the official NPI Registry.