Individual provider Active NPI

Leslie Elizabeth Acevedo, CRNP

  • Family Nurse Practitioner
  • Gibsonia, PA
National Provider Identifier
1013913193
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
UP006197B Issued in PA
Practice address
5830 Meridian Rd
Gibsonia, PA 15044-9668
Phone
(724) 443-7231
Fax
(724) 443-4467
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 UP006197B PA Primary

Addresses

Primary practice location

5830 Meridian Rd
Gibsonia, PA 15044-9668

Mailing address

5830 Meridian Rd
Gibsonia, PA 15044-9668
Phone (724) 443-7231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100916000732 PA Practitioner - Nurse Practitioner 3779608534

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP006197BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Barnabas Medical Center, Inc CurrentSince Dec 12, 2022 Accepting new patients
St. Barnabas Medical Center Inc CurrentSince Dec 12, 2022 Accepting new patients
Las Geriatric Care Services, Inc. PastSince Oct 11, 2019 Accepting new patients

Locations

5830 Meridian Rd
Gibsonia, PA 15044
Phone (724) 443-0700

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1013913193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449668",
            "telephone_number": "724-443-7231",
            "fax_number": "724-443-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449668",
            "telephone_number": "724-443-7231",
            "fax_number": "724-443-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "LESLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP006197B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.