Individual provider Active NPI

Leslie G Menchetti, APRN, BC

  • Family Nurse Practitioner
  • Orland, CA
National Provider Identifier
1083654677
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22577 Issued in CA
Practice address
1211 Cortina Dr
Orland, CA 95963-1699
Phone
(530) 865-5544
Fax
(530) 865-9209
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 080771 MO
Family Nurse Practitioner 363LF0000X 13-43718-072 KS
Family Nurse Practitioner 363LF0000X 22577 CA Primary

Addresses

Primary practice location

1211 Cortina Dr
Orland, CA 95963-1699

Mailing address

1211 Cortina Dr
Orland, CA 95963-1699
Phone (530) 865-5544

Other identifiers 1

IdentifierTypeStateIssuer
22577OtherCACA NP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151120000083 KS Practitioner - Nurse Practitioner 7113828997 Reassigns benefits to 1 organization
I20180906001261 CA Practitioner - Nurse Practitioner 7113828997 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-43718-072KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Aug 30, 2018 Accepting new patients
Ampla Health Current Accepting new patients
Ampla Health CurrentSince Aug 30, 2018 Accepting new patients
Sjmgroup Past Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients

Locations

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: leslie.menchetti@ampla.eclinicaldirectplus.com

Organizations & group practices 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1083654677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 CORTINA DR",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631699",
            "telephone_number": "530-865-5544",
            "fax_number": "530-865-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CORTINA DR",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631699",
            "telephone_number": "530-865-5544",
            "fax_number": "530-865-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHETTI",
        "first_name": "LESLIE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "080771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "13-43718-072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA NP LICENSE",
            "identifier": "22577",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland, CA

Sources for this page

Verify at the official NPI Registry.