Individual provider Active NPI

Leslie Marie Stegall, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenfield, OH
National Provider Identifier
1356875397
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.020690 Issued in OH
Practice address
910 South St
Greenfield, OH 45123-1249
Phone
(740) 403-9108
Fax
(937) 462-1385
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 APRN.CNP.020690 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.020690 OH Primary

Addresses

Primary practice location

910 South St
Greenfield, OH 45123-1249

Mailing address

330 Jefferson St
Greenfield, OH 45123-1369
Phone (740) 403-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180918003928 OH Practitioner - Nurse Practitioner 3971854720 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

910 S St
Greenfield, OH 45123-1249
Phone (877) 997-3224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020690OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. CurrentSince Jul 23, 2018 Accepting new patients
Reach for Tomorrow Inc CurrentSince Oct 1, 2021 Accepting new patients
Mobile Medical Inc CurrentSince Jul 23, 2018 Accepting new patients
Reach for Tomorrow Inc CurrentSince Oct 1, 2021 Accepting new patients
North Creek LLC CurrentSince Nov 1, 2021 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Reach for Tomorrow Inc PastSince Nov 1, 2021 Accepting new patients

Locations

135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483

1020 Jefferson St
Greenfield, OH 45123
Phone (937) 403-9108

330 Jefferson St
Greenfield, OH 45123

138 S Washington St
Greenfield, OH 45123
Phone (877) 997-3224

910 South St
Greenfield, OH 45123
Phone (877) 997-3224

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

Interoperability endpoints

  • Direct secure messaging: leslie.stegall.p19@direct.360care.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1356875397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 JEFFERSON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231369",
            "telephone_number": "740-403-9108",
            "fax_number": "937-462-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SOUTH ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231249",
            "telephone_number": "740-403-9108",
            "fax_number": "937-462-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "LESLIE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020690",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.020690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, OH

Sources for this page

Verify at the official NPI Registry.