Individual provider Active NPI

Leigh Ann Tesar, ARNP

  • Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1356645972
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9217888 Issued in FL
Practice address
8614 State Road 70 E Ste 104
Bradenton, FL 34202-3710
Phone
(941) 216-3800
Fax
(941) 216-3703
NPI assigned
Dec 23, 2010
Reactivated
Apr 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9217888 FL
Nurse Practitioner 363L00000X APRN9217888 FL Primary

Addresses

Primary practice location

8614 State Road 70 E Ste 104
Bradenton, FL 34202-3710

Mailing address

6643 38TH LN E
Sarasota, FL 34243-7962

Other practice location 1

2191 9TH Ave N
Ste 110
St Petersburg, FL 33713-7147
Phone (727) 820-7778

Other practice location 2

5493 Wiles Rd Ste 106
Coconut Creek, FL 33073-4219
Phone (321) 214-4530

Other identifiers 1

IdentifierTypeStateIssuer
003821700MedicaidFL

Other names 1

  • Leigh Ann Osborn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110203001089 FL Practitioner - Nurse Practitioner 3870773138 Reassigns benefits to 9 organizations
Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6643 38TH LN E
Sarastoa, FL 34243-7962
Phone (941) 726-5220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9217888FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duo Medical Group of Florida LLC CurrentSince Jun 17, 2024 Accepting new patients
Tesar Primecare, LLC Nurse Practitioner CurrentSince Oct 2, 2023 Accepting new patients
Mana Health Partners PA CurrentSince Mar 13, 2024 Accepting new patients
Comprehensive Hospital Physicians of Florida Inc CurrentSince Mar 1, 2024 Accepting new patients
Professional Health Care of Pinellas LLC CurrentSince Aug 14, 2019 Accepting new patients
Legacy Physiatry Group LLC CurrentSince May 21, 2024 Accepting new patients
Manatee Senior Care CurrentSince Apr 3, 2024 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Aug 1, 2024 Accepting new patients
Chma of FL, PLLC CurrentSince Jun 18, 2021 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Aug 14, 2019 Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients
Personal Wellness Medicine, LLC PastSince Feb 7, 2021 Accepting new patients
New Regeneration Orthopedics of Florida, PLLC. PastSince Mar 31, 2024 Accepting new patients

Locations

2030 W Baseline Rd
Phoenix, AZ 85041
Phone (480) 559-9999

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

5493 Wiles Rd
Ste 106
Coconut Creek, FL 33073
Phone (321) 214-4530

6020 Indiana Ave
New Prt Rchy, FL 34653
Phone (352) 860-0200

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

7421 Ridge Rd
Ste 105
Port Richey, FL 34668
Phone (310) 940-4171

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

7101 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 527-7231

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

850 Central Pkwy E
Ste 275
Plano, TX 75074

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1356645972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 38TH LN E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342437962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 STATE ROAD 70 E STE 104",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023710",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2191 9TH AVE N",
            "address_2": "STE 110",
            "address_purpose": "LOCATION",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "country_code": "US",
            "telephone_number": "727-820-7778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5493 Wiles Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330734219",
            "country_code": "US",
            "telephone_number": "321-214-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESAR",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "deactivation_date": "2019-03-21",
        "reactivation_date": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9217888",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9217888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003821700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "OSBORN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.