Individual provider Active NPI

Leslie Marie Filler, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Shaw AFB, SC
National Provider Identifier
1316424666
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58600 Issued in ID
Practice address
420 Polifka Dr BLDG 1042
Shaw AFB, SC 29152-5100
Phone
(803) 895-6425
NPI assigned
Jul 19, 2018
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201805806NP-PP OR
Family Nurse Practitioner 363LF0000X APRN4283 HI
Family Nurse Practitioner 363LF0000X 58600 ID Primary

Addresses

Primary practice location

420 Polifka Dr BLDG 1042
Shaw AFB, SC 29152-5100

Mailing address

420 Polifka Dr BLDG 1042
Shaw AFB, SC 29152-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180928002039 ID Practitioner - Nurse Practitioner 0648521716 Reassigns benefits to 1 organization
I20180928002080 OR Practitioner - Nurse Practitioner 0648521716 Reassigns benefits to 1 organization
I20260304003277 SC Practitioner - Nurse Practitioner 0648521716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

482 W Boyce St
Manning, SC 29102-2626
Phone (843) 322-1933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN4283HIMDFamily Nurse Practitioner
58600IDMDFamily Nurse Practitioner
201805806NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Family Health Care, Inc CurrentSince Jul 21, 2018 Accepting new patients
Valley Family Health Care, Inc Current Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Jan 12, 2026 Accepting new patients
Valley Family Health Care Inc CurrentSince Jul 21, 2018 Accepting new patients
Valley Family Health Care, Inc CurrentSince Jul 21, 2018 Accepting new patients

Locations

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

1219 SW 4th Ave
Unit 1
Ontario, OR 97914
Phone (541) 216-6068

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

482 W Boyce St
Manning, SC 29102
Phone (843) 322-1933

Organizations & group practices 5

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 1

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1316424666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 POLIFKA DR BLDG 1042",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 POLIFKA DR BLDG 1042",
            "city": "SHAW AFB",
            "state": "SC",
            "postal_code": "291525100",
            "telephone_number": "803-895-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLER",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201805806NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN4283",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "58600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaw AFB, SC

Sources for this page

Verify at the official NPI Registry.