Active NPI
Sarah Leese, PA-C
- Physician Assistant
- Stevensville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5515 Cleveland Ave
Stevensville, MI 49127-9670 - Phone
- (269) 429-4002
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Primary |
Addresses
Primary practice location
5515 Cleveland Ave
Stevensville, MI 49127-9670
Mailing address
5515 Cleveland Ave
Stevensville, MI 49127-9670
Phone (269) 429-4002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245544170 | Medicaid | MI | |
| 1801818752 | Other | MI | BCBSM - BMG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
5515 Cleveland Ave
Stevensville, MI 49127-9670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Past | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Past | Accepting new patients |
Locations
555 Linn St
Allegan, MI 49010
Phone (269) 673-8424
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
5515 Cleveland Ave
Ste 5
Stevensville, MI 49127
Phone (269) 429-9644
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
460 Medical Park Dr
Ste 200
Watervliet, MI 49098
Interoperability endpoints
- sleese1545202@epic00.corewelldirect.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Rural Health Clinic/Center
- Niles, MI
- NPI 1538592753
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
-
- Urgent Care Clinic/Center
- Portage, MI
- NPI 1417130154
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
- Rural Health Clinic/Center
- Watervliet, MI
- NPI 1508924770
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Rural Health Clinic/Center
- Coloma, MI
- NPI 1083710701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1245544170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 CLEVELAND AVE",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279670",
"telephone_number": "269-429-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 CLEVELAND AVE",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279670",
"telephone_number": "269-429-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEESE",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245544170",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM - BMG",
"identifier": "1801818752",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stevensville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.