Individual provider Active NPI

Leslie B Stelly, APRN, FNP-C

  • Family Nurse Practitioner
  • Welsh, LA
National Provider Identifier
1205448651
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214454 Issued in LA
Practice address
708 E Russell Ave
Welsh, LA 70591-4844
Phone
(337) 734-4500
Fax
(337) 734-4400
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 214454 LA Primary

Addresses

Primary practice location

708 E Russell Ave
Welsh, LA 70591-4844

Mailing address

PO Box 122539 Dept 2539
Dallas, TX 75312-0001
Phone (337) 494-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201103000905 LA Practitioner - Nurse Practitioner 9638589633 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

Practice addresses (Care Compare)

708 E Russell Ave
Welsh, LA 70591-4844

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care LLC CurrentSince Sep 28, 2020 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Sep 28, 2020 Accepting new patients
Lake Charles Medical Services Family Practice Associates, LLC CurrentSince Mar 17, 2023 Accepting new patients

Locations

1017 N Pine St
Deridder, LA 70634
Phone (337) 202-4101

1750 Elton Rd
Jennings, LA 70546
Phone (337) 329-6565

1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

708 E Russell Ave
Welsh, LA 70591
Phone (337) 734-4500

Interoperability endpoints

  • Direct secure messaging: lstelly5281961@direct.casso.us.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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1205448651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122539 DEPT 2539",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E RUSSELL AVE",
            "city": "WELSH",
            "state": "LA",
            "postal_code": "705914844",
            "telephone_number": "337-734-4500",
            "fax_number": "337-734-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLY",
        "first_name": "LESLIE",
        "middle_name": "B",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Welsh, LA

Sources for this page

Verify at the official NPI Registry.