Individual provider Active NPI

Leslie Yedor, L.AC., PA-C

  • Physician Assistant
  • Vail, CO
National Provider Identifier
1245603265
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
180 S Frontage Rd W
Vail, CO 81657-5038
Phone
(805) 338-6905
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CO Primary
Acupuncturist 171100000X ACU.0002343 CO
Acupuncturist 171100000X AC16735 CA

Addresses

Primary practice location

180 S Frontage Rd W
Vail, CO 81657-5038

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (970) 476-2451

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) VVMC Diversified Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251008004787 CO Practitioner - Physician Assistant 3375040926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VVMC Diversified ServicesGroup PAC ID 8628145414, 16 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 476-2451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AC16735CAMDAcupuncturist
ACU.0002343COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
VVMC Diversified Services Current Accepting new patients
VVMC Diversified Services CurrentSince Jul 25, 2025 Accepting new patients
VVMC Diversified Services CurrentSince Jul 25, 2025 Accepting new patients
VVMC Diversified Services Past Accepting new patients

Locations

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

180 S Frontage Rd W
Vail, CO 81657
Phone (866) 247-3141

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1245603265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-476-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S FRONTAGE RD W",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575038",
            "telephone_number": "805-338-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDOR",
        "first_name": "LESLIE",
        "credential": "L.AC., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002343",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VVMC Diversified Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "180 S Frontage Rd W",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.