Active NPI
Leslie N Kingsley, D.O.
- Family Medicine Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101019757
- Practice address
- 2700 Baker St FL 3
Muskegon, MI 49444-2157 - Phone
- (231) 737-1335
- Fax
- (231) 737-0534
- NPI assigned
- May 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101019757 | MI | Primary |
Addresses
Primary practice location
2700 Baker St FL 3
Muskegon, MI 49444-2157
Mailing address
2700 Baker St FL 3
Muskegon, MI 49444-2157
Phone (231) 737-1335
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lesliekingsley@hccc.allscriptsdirect.net | Direct | |
| Direct Messaging Address | kingsleyl@hccc-health.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Baker St
FL 3
Muskegon, MI 49444-2157
Phone (231) 737-1335
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackley Community Care Center Inc | Current | Accepting new patients | |
| Hackley Community Care Center, Inc | Current | Accepting new patients | |
| Hackley Community Care Center Inc | Family Medicine | Current | Accepting new patients |
Locations
1550 Clinton St
Muskegon, MI 49442
Phone (231) 733-6910
2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hackley Community Care Center Mobile Dental | Federally qualified health center | Corporate Officer | Dec 1, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1629066238
Corporate Officer
-
dba Hackley Community Care Center Mobile Dental
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1912506635
Corporate Officer
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.
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1629066238
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1255669818
-
dba Hackley Community Care - Forest
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1427787621
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641081600000",
"number": "1043579014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 BAKER ST FL 3",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494442157",
"telephone_number": "231-737-1335",
"fax_number": "231-737-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 BAKER ST FL 3",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494442157",
"telephone_number": "231-737-1335",
"fax_number": "231-737-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSLEY",
"first_name": "LESLIE",
"middle_name": "N",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-11",
"last_updated": "2022-01-02",
"certification_date": "2022-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101019757",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lesliekingsley@hccc.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Hackley Community Care Direct Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2700 Baker St Fl 3",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494442157",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kingsleyl@hccc-health.org",
"affiliation": "N",
"endpointDescription": "Hackley Community Care Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2700 Baker St Fl 3",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494442157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.