Leslie Michelle Mudge, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0994106-NP Issued in CO

Practice address

10TH Medical Group
4102 Pinon Drive
Usaf Academy, CO 80840

Phone

(719) 333-5186

NPI assigned

Aug 27, 2018

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Colorado Springs Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Colorado Springs, CO
  • NPI 1104271246
  Medicare reassignment NPD
• Immersiv Health of Colorado, PLLC

  dba Immersiv Health

  • Infectious Disease Physician
  • Greeley, CO
  • NPI 1043043466
  Medicare reassignment NPD
• Pulse Family Acute Care Center, Prof. LLC

  • Specialist
  • Peyton, CO
  • NPI 1497973747
  Medicare reassignment NPD
• Immersiv Health of Colorado, PLLC

  dba Immersiv Health

  • Infectious Disease Physician
  • Fort Collins, CO
  • NPI 1831914993
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1407337504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINON DRIVE",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "80840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINON DRIVE",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "719-333-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDGE",
        "first_name": "LESLIE",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994106-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Curtis Morgan
• Patrice Hinton Morrison, FNP-C
• Angela J Mortland, M.D.
• Patricia Grace Moseley, LCSW
• Justin Moss, DO
• Li Z Mueckay, DDS
• Lisa Jeanne Mull, PSYD
• Malcolm Bert Munk, DDS
• Breeanna Priscilla Munoz, ATC
• Robert Alva Munson, MD

• Family Nurse Practitioner in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.