Individual provider Active NPI

Leslie Pulver, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Xenia, OH
National Provider Identifier
1114454501
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN426373 Issued in OH
Practice address
287 Cincinnati Ave
Xenia, OH 45385-5071
Phone
(937) 376-8700
NPI assigned
May 16, 2017
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN426373 OH Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN426373 OH

Addresses

Primary practice location

287 Cincinnati Ave
Xenia, OH 45385-5071

Mailing address

452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700

Other practice location 1

860 Valley St
Dayton, OH 45404-2066
Phone (937) 641-3060

Other practice location 2

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3401

Other practice location 3

1816 Harvard Blvd Ste 202
Dayton, OH 45406-4559
Phone (937) 641-3401

Other practice location 4

3300 W Tech Blvd
Miamisburg, OH 45342-4865
Phone (937) 641-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210310003205 OH Practitioner - Nurse Practitioner 0143636407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5694
Phone (216) 831-6611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN426373OHMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TCN Behavioral Health Services, Inc. Psychiatric/Mental Health CurrentSince Feb 24, 2021 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Aug 29, 2023 Accepting new patients
Dayton Children's Hospital PastSince Jun 1, 2026 Accepting new patients

Locations

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

2900 Presidential Dr
Ste 100
Beavercreek, OH 45324
Phone (513) 741-3100

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

287 Cincinnati Ave
Xenia, OH 45385
Phone (937) 427-3837

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lesliepulver@140098.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1114454501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815",
            "telephone_number": "937-376-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CINCINNATI AVE",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855071",
            "telephone_number": "937-376-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Valley St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454042066",
            "country_code": "US",
            "telephone_number": "937-641-3060",
            "fax_number": "937-641-3285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3401",
            "fax_number": "937-641-3046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1816 Harvard Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454064559",
            "country_code": "US",
            "telephone_number": "937-641-3401",
            "fax_number": "937-641-3046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 W Tech Blvd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453424865",
            "country_code": "US",
            "telephone_number": "937-641-4040",
            "fax_number": "937-641-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULVER",
        "first_name": "LESLIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN426373",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "RN426373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.