Individual provider Active NPI

Leslie Nicole Mount, PA - C

  • Medical Physician Assistant
  • Middletown, OH
National Provider Identifier
1427200823
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-341 Issued in AR
Practice address
1515 S Breiel Blvd
Middletown, OH 45044-6703
Phone
(513) 420-8195
Fax
(513) 420-8824
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-341 AR Primary

Addresses

Primary practice location

1515 S Breiel Blvd
Middletown, OH 45044-6703

Mailing address

705 Santa Fe Dr
Searcy, AR 72143-6964
Phone (513) 420-8195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20141124000415 AR Practitioner - Physician Assistant 8224183918 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Richard Duke Sr MD PLLC Dba Duke Medical CurrentSince Sep 1, 2024 Accepting new patients
Arkansas Health Group Current Accepting new patients
White County Medical Center CurrentSince Jan 16, 2023 Accepting new patients
White County Medical Center CurrentSince Jan 16, 2023 Accepting new patients
American Arthritis & Rheumatology Associates Oh LLC PastSince Jul 24, 2019 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

705 Santa Fe Dr
Searcy, AR 72143
Phone (501) 268-3853

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Organizations & group practices 7

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1427200823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SANTA FE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436964",
            "telephone_number": "513-420-8195",
            "fax_number": "513-420-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446703",
            "telephone_number": "513-420-8195",
            "fax_number": "513-420-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "LESLIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.