Individual provider Active NPI

Lesley B Voneschen, PA-C

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1346325594
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
238 Issued in MT
Practice address
2700 Radio Way
Missoula, MT 59808-1385
Phone
(406) 541-6900
Fax
(406) 541-6901
NPI assigned
Oct 26, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 238 MT Primary

Addresses

Primary practice location

2700 Radio Way
Missoula, MT 59808-1385

Mailing address

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Costcare, PLLC CurrentSince Sep 5, 2007 Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

2700 Radio Way
Missoula, MT 59808
Phone (406) 541-3046

3031 S Russell St
Missoula, MT 59801
Phone (406) 549-0119

1001 E Broadway St
Missoula, MT 59802
Phone (406) 721-5513

301 Main St
Stevensville, MT 59870
Phone (406) 777-5591

Interoperability endpoints

  • Direct secure messaging: lesley.voneschen@165427463913476.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1346325594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 RADIO WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081385",
            "telephone_number": "406-541-6900",
            "fax_number": "406-541-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONESCHEN",
        "first_name": "LESLEY",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.