Leslie M Antonelli, MSN, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71002959A Issued in IN

Practice address

1703 W Stones Crossing Rd Ste 330
Greenwood, IN 46143-8558

Phone

(317) 887-6060

Fax

(317) 859-5944

NPI assigned

Jan 16, 2008

Last updated

May 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Leslie M Peters Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lantonelli@withamdirect.org
• Direct secure messaging: lantonelli10370@direct.franciscanalliance.org

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.

• Franciscan Physician Network

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1225327984
  Medicare reassignment
• Witham Memorial Hospital

  dba Witham Health Services

  • Family Medicine Physician
  • Lebanon, IN
  • NPI 1083750293
  NPD (past)
• Witham Memorial Hospital

  dba Witham Rehabilitation Services, Anson at Whitestown

  • Physical Therapist
  • Zionsville, IN
  • NPI 1952282204
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1013193457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W STONES CROSSING RD STE 330",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438558",
            "telephone_number": "317-887-6060",
            "fax_number": "317-859-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602479",
            "country_code": "US",
            "telephone_number": "317-415-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 N Lebanon St Ste 415",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460528628",
            "country_code": "US",
            "telephone_number": "765-485-8900",
            "fax_number": "765-485-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28154154A",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "IN",
            "license": "71002959A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71002959A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lantonelli10370@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1703 W Stones Crossing Rd Ste 330",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lantonelli@withamdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2705 N Lebanon St Ste 415",
            "city": "Lebanon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460528628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "PETERS",
            "middle_name": "M",
            "credential": "MSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria Lynn Angerer
• Asif Ansari, MD
• Hannah Marie Anspaugh, BSN, RN
• Allison Lee Antolin, MS, OTR
• Alyssa Antone
• Elizabeth Connell Anttonen, M.A., CCC-SLP
• Apexgen Medical Billing LLC
• Sydney Apple, RBT
• Jenna Arbuckle
• Angela A Archer, OD

• Pediatric Nurse Practitioner in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.