NPIMap

Individual provider Active NPI

Leslee Stafford

  • Family Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1437636370
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9352275 Issued in FL
Practice address
1859 SW Newland Way
Lake City, FL 32025-6966
Phone
(386) 759-0003
NPI assigned
Jul 24, 2018
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 ARNP9352275 FL Primary

Addresses

Primary practice location

1859 SW Newland Way
Lake City, FL 32025-6966

Mailing address

6440 W Newberry Rd
Ste 401
Gainesville, FL 32605-4325
Phone (352) 332-0030

Other names 1

  • Leslee Eans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, CO, SD4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20191015001750 FL Practitioner - Nurse Practitioner 6002147501 Reassigns benefits to 1 organization
I20230913003136 CA Practitioner - Nurse Practitioner 6002147501 Reassigns benefits to 1 organization
I20240725004746 CO Practitioner - Nurse Practitioner 6002147501 Reassigns benefits to 1 organization
I20240814001990 SD Practitioner - Nurse Practitioner 6002147501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery of South Dakota PCGroup PAC ID 5698195030, 67 clinicians

Practice addresses (Care Compare)

1635 Caregiver Cir
Rapid City, SD 57702-8529
Phone (605) 755-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9352275FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Sep 1, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Sep 1, 2023 Accepting new patients
Florida Neurosurgical Associates PA CurrentSince Sep 23, 2019 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Acute Care Surgery of South Dakota PC CurrentSince Aug 1, 2024 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Past Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

6440 W Newberry Rd
Ste 401
Gainesville, FL 32605
Phone (352) 332-0030

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10021331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1437636370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD",
            "address_2": "STE 401",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054325",
            "telephone_number": "352-332-0030",
            "fax_number": "352-332-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 SW NEWLAND WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256966",
            "telephone_number": "386-759-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "LESLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9352275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEE",
            "last_name": "EANS",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.