Leslie Mead
Individual provider Active NPI Family Nurse Practitioner · Bushnell, FL
NPI 1194272435 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1194272435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9213825 (FL)
- Practice address
- 6934 SW 93Rd Rd
Bushnell, FL 33513-8314 - Phone
- (352) 457-1401
- NPI assigned
- Sep 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Gastroenterology and Nutrition Associates, P.a.
Practice addresses (Care Compare)
13838 N US Hwy 441
Endosurg Outpatient Ctr
Lady Lake, FL 32159-8904
Phone (352) 753-1612
8110 County Rd
Leesburg, FL 34788-3704
Phone (352) 323-8868
8110 CR
44 Leg a
Leesburg, FL 34788-3704
Hospital & facility affiliations
- Adventhealth Waterman
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170301000074 | FL | Practitioner - Nurse Practitioner | 4486935277 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9213825 | FL | MD | Family Nurse Practitioner |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Surgery & Endoscopy Center LTD | Current | Accepting new patients |
Locations
8100 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-1995
8110 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-8868
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- leslie.mead.1@3063.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 73391 | NM | |
| Family Nurse Practitioner | 363LF0000X | ARNP9213825 | FL | Yes |
Addresses
Primary practice location
6934 SW 93Rd Rd
Bushnell, FL 33513-8314
Mailing address
1600 N Main Ave
Lovington, NM 88260-2813
Phone (575) 396-6611
Other providers in Bushnell, FL
- Lets Grow ABA
- Karen Lord
- Lowell F. Clark MD PA
- Lula Frazier
- Cary Mattos
- Brigitte Mitchell
- Gwendolyn Denese Mobley
- Noelle Mooneyham
- Sheri F Morgan
- Sarah J Moyer
All providers in Bushnell, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.