Leslie Brooke Charleville, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A158761 Issued in IA

Practice address

10001 95TH Ave
Indianola, IA 50125-7181

Phone

(225) 936-6814

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Innovative Wellness

  • Family Nurse Practitioner
  • Waukee, IA
  • NPI 1477420073
  Medicare reassignment

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1043818941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 95TH AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501257181",
            "telephone_number": "225-936-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 95TH AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501257181",
            "telephone_number": "225-936-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEVILLE",
        "first_name": "LESLIE",
        "middle_name": "BROOKE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A158761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Amos Busby, ATC LAT
• Jeffery A Butler, D.C.
• Patti Anne Campidilli, LISW
• Lindsay S Capps, PT, DPT
• Laura Carson, M.A., CCC-SLP
• Ashley Chestnut, ARNP
• City of Indianola
• Michelle R Collette, ARNP
• Clifford Charles Collins, D.D.S.
• Susan Comer, MD

• Family Nurse Practitioner in Indianola, IA
• Providers in Indianola, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.
• 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.

Verify at the official NPI Registry.