Individual provider Active NPI

Leslie S Hubert, NP

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1043563497
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71006996A Issued in IN
Practice address
100 St Marys Epworth Xing Ste B100
Newburgh, IN 47630-9161
Phone
(812) 853-9651
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71006996A IN Primary
Registered Nurse 163W00000X 28201051A IN

Addresses

Primary practice location

100 St Marys Epworth Xing Ste B100
Newburgh, IN 47630-9161

Mailing address

PO Box 3444
Evansville, IN 47733-3444
Phone (812) 471-1591

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170417000664 IN Practitioner - Nurse Practitioner 8628354255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, 228 clinicians

Practice addresses (Care Compare)

4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-9460
Phone (812) 842-2737

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28201051AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince May 15, 2024 Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince May 15, 2024 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Dec 31, 2018 Accepting new patients
Kleinert Kutz and Associates Hand Care Center PastSince Nov 10, 2019 Accepting new patients
Kleinert Kutz and Associates Hand Care Center Past Accepting new patients

Locations

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4099 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2720

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: lpixley64786@direct.deaconess.com

Organizations & group practices 9

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 2

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1043563497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3444",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333444",
            "telephone_number": "812-471-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST MARYS EPWORTH XING STE B100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309161",
            "telephone_number": "812-853-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "LESLIE",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006996A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28201051A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.