Individual provider Active NPI

Leslie Oliver, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1003415720
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199085 Issued in MD
Practice address
1113 Healthway Dr Ste 101
Salisbury, MD 21804-4470
Phone
(443) 944-8723
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 R199085 MD Primary

Addresses

Primary practice location

1113 Healthway Dr Ste 101
Salisbury, MD 21804-4470

Mailing address

1113 Healthway Dr Ste 101
Salisbury, MD 21804-4470
Phone (443) 944-8723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220303002600 MD Practitioner - Nurse Practitioner 9032503206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1113 Healthway Dr
Suite 101
Salisbury, MD 21804-4470
Phone (443) 944-8723

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199085MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Dermatology Family CurrentSince Feb 10, 2025 Accepting new patients
Easton Dermatology Associates, LLC CurrentSince Feb 23, 2022 Accepting new patients
Maryland Pain and Wellness Center PastSince Oct 1, 2020 Accepting new patients

Locations

403 Marvel Ct
Easton, MD 21601
Phone (410) 819-8867

106 Milford St
Ste 503
Salisbury, MD 21804
Phone (410) 546-4300

1113 Healthway Dr
Ste 101
Salisbury, MD 21804
Phone (443) 944-8723

Interoperability endpoints

  • Direct secure messaging: loliver@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1003415720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 HEALTHWAY DR STE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044470",
            "telephone_number": "443-944-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HEALTHWAY DR STE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044470",
            "telephone_number": "443-944-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.