Individual provider Active NPI

Leslie Lair, NP-C

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1386392728
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012470A Issued in IN
Practice address
801 Macarthur Blvd Ste 401
Munster, IN 46321-2919
Phone
(219) 836-7713
Fax
(219) 836-7083
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012470A IN Primary

Addresses

Primary practice location

801 Macarthur Blvd Ste 401
Munster, IN 46321-2919

Mailing address

801 Macarthur Blvd Ste 401
Munster, IN 46321-2919
Phone (219) 836-7713

Other identifiers 1

IdentifierTypeStateIssuer
300060871MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220408001181 IN Practitioner - Nurse Practitioner 0648666180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicagoland Infectious Disease PCGroup PAC ID 5193948362, 38 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

245 W Johnson Rd
Suite 7
La Porte, IN 46350-2026
Phone (708) 960-4280

801 Macarthur Blvd
Suite 401
Munster, IN 46321-2919
Phone (219) 440-5290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC CurrentSince Apr 7, 2022 Accepting new patients
Chicagoland Infectious Disease PC CurrentSince May 30, 2026 Accepting new patients
Community Care Network Inc CurrentSince Sep 27, 2024 Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550

2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540

245 W Johnson Rd
Ste 7
La Porte, IN 46350
Phone (219) 262-0037

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

503 Otis Bowen Dr
Munster, IN 46321
Phone (219) 934-0590

801 MacArthur Blvd
Ste 401
Munster, IN 46321
Phone (219) 836-2860

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

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

Interoperability endpoints

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

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1386392728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212919",
            "telephone_number": "219-836-7713",
            "fax_number": "219-836-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212919",
            "telephone_number": "219-836-7713",
            "fax_number": "219-836-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIR",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012470A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300060871",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.