Individual provider Active NPI

Laura Leske, NP-C

  • Primary Care Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1427549583
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704300571 Issued in MI
Practice address
1241 E Dyer Rd Ste 145
Santa Ana, CA 92705
Phone
(888) 306-0615
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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 4704300571 MI
Primary Care Nurse Practitioner 363LP2300X 4704300571 MI Primary

Addresses

Primary practice location

1241 E Dyer Rd Ste 145
Santa Ana, CA 92705

Mailing address

3884 Long Meadow LN
Orion, MI 48359-1444
Phone (586) 321-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190425002762 MI Practitioner - Nurse Practitioner 2567704323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians
Curana Health of Michigan PLLCGroup PAC ID 9638502917, 39 clinicians

Practice addresses (Care Compare)

2102 Orleans St
Detroit, MI 48207-2769
Phone (337) 991-9276

33300 Utica Rd
Fraser, MI 48026-2017
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704300571MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular Institute of Mi P.C. CurrentSince Apr 15, 2019 Accepting new patients
Curana Health of Michigan PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2340 Stonebridge Dr
Bldg H
Flint, MI 48532
Phone (810) 667-7333

33300 Utica Rd
Fraser, MI 48026
Phone (586) 293-3300

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

1075 Suncrest Dr
Ste C
Lapeer, MI 48446
Phone (810) 538-2015

3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300

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.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1427549583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 LONG MEADOW LN",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483591444",
            "telephone_number": "586-321-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E DYER RD STE 145",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "888-306-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKE",
        "first_name": "LAURA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704300571",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704300571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.