Individual provider Active NPI

Todd Lecesne, MPAS, PA-C

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1396750865
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
97-PA03 Issued in NM
Practice address
3Rd Family Practice Ctr
2400 Tucker NE
Albuquerque, NM 87131-0001
Phone
(505) 272-8566
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 97-PA03 NM Primary

Addresses

Primary practice location

3Rd Family Practice Ctr
2400 Tucker NE
Albuquerque, NM 87131-0001

Mailing address

2400 Tucker NE
Msc09 5040
Albuquerque, NM 87131-0001
Phone (505) 272-9828

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97-PA03NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corazon Family Health PC Family Medicine PastSince Apr 1, 2013 Accepting new patients
Santa Fe Medical Group, LLC Past Accepting new patients
University Physician Associates Past Accepting new patients
American Current Care, P.a. Past Accepting new patients
Truecare LLC Family Medicine PastSince Jan 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: todd.lacesne.p13@direct.medcor.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1396750865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 TUCKER NE",
            "address_2": "MSC09 5040",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3RD FAMILY PRACTICE CTR",
            "address_2": "2400 TUCKER NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECESNE",
        "first_name": "TODD",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "97-PA03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.