Active NPI
Leela Stuart, PMHNP
- Procedural Dermatology Physician
- Bend, OR
National Provider Identifier
1295668978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 10061838
- Practice address
- 185 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3263 - Phone
- (541) 236-2282
- NPI assigned
- Jun 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 10061838 | OR | Primary |
Addresses
Primary practice location
185 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3263
Mailing address
185 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3263
Phone (541) 236-2282
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10061838 | OR | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lounge Holdings LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1295668978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SW SHEVLIN HIXON DR STE 101",
"city": "BEND",
"state": "OR",
"postal_code": "977023263",
"telephone_number": "541-236-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SW SHEVLIN HIXON DR STE 101",
"city": "BEND",
"state": "OR",
"postal_code": "977023263",
"telephone_number": "541-236-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "LEELA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "OR",
"license": "10061838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.