NPIMap

Individual provider Active NPI

Pamela Lacey Leuschen, APRN, FNP-C

  • Family Nurse Practitioner
  • Minot, ND
National Provider Identifier
1003422478
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
49558 Issued in ND
Practice address
2050 36TH Ave SW Ste 201
Minot, ND 58701-7595
Phone
(701) 852-8502
NPI assigned
Sep 21, 2020
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 49558 ND Primary

Addresses

Primary practice location

2050 36TH Ave SW Ste 201
Minot, ND 58701-7595

Mailing address

134 Sirocco Dr Apt 2
Minot AFB, ND 58704-1724
Phone (501) 628-7564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003001684 IA Practitioner - Nurse Practitioner 3577973965 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
Group practices
Alegent Health Community Memorial Hospital of Missouri Valley IowaGroup PAC ID 3678482130, shared by 8 NPIs, 28 clinicians

Practice addresses (Care Compare)

700 S Hwy St
Oakland, IA 51560-4357
Phone (712) 482-6484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49558NDMDFamily Nurse Practitioner
114123IAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley Iowa CurrentSince Oct 18, 2022 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Oct 18, 2022 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Current Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1003422478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SIROCCO DR APT 2",
            "city": "MINOT AFB",
            "state": "ND",
            "postal_code": "587041724",
            "telephone_number": "501-628-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 36TH AVE SW STE 201",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017595",
            "telephone_number": "701-852-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUSCHEN",
        "first_name": "PAMELA",
        "middle_name": "LACEY",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "49558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.