Individual provider Active NPI

Leslie Ann Vela, NP

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1154491223
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000976A Issued in IN
Practice address
2499 W Cota Dr
Bloomington, IN 47403-4217
Phone
(812) 337-0210
Fax
(812) 337-0211
NPI assigned
Nov 8, 2006
Last updated
Nov 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71000976A IN Primary

Addresses

Primary practice location

2499 W Cota Dr
Bloomington, IN 47403-4217

Mailing address

PO Box 5637
Bloomington, IN 47407-5637
Phone (812) 337-5003

Other identifiers 4

IdentifierTypeStateIssuer
200859380CMedicaidIN
200859380FMedicaidIN
200859380JMedicaidIN
200859380AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Neuroscience Assoc Inc Past Accepting new patients
Pain Management Center of Southern Indiana Past Accepting new patients
Certified Surgeons, Inc. PastSince Jun 18, 2014 Accepting new patients
Pain Management Center of Southern Indiana, Inc. Past Accepting new patients
Monroe Surgical Associates Past Accepting new patients
Comprehensive Spine Care Past Accepting new patients
Family Wellness Center, PA Past Accepting new patients
Pain Management Center of Southern Indiana Past Accepting new patients

Organizations & group practices 8

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1154491223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5637",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474075637",
            "telephone_number": "812-337-5003",
            "fax_number": "812-337-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 W COTA DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034217",
            "telephone_number": "812-337-0210",
            "fax_number": "812-337-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000976A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200859380C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200859380F",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200859380J",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200859380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.