Kelly Leslie, APRN-FNP-C
Individual provider Active NPI Family Nurse Practitioner · Woodward, OK
NPI 1447896147 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1447896147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 228703 (OK)
- Practice address
- 1327 Oklahoma Ave
Woodward, OK 73801-4454 - Phone
- (580) 254-2377
- Fax
- (580) 254-2388
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Health Center
Williams Medical Group Practice, LLC
Healthreach Community Health Centers
Practice addresses (Care Compare)
109 Clearview Rd
Madison Heights, VA 24572-2600
Phone (434) 455-2480
1327 Oklahoma Ave
Woodward, OK 73801-4454
Phone (580) 254-2377
16 Depot St
Suite 300
Livermore Falls, ME 04254-1311
Phone (207) 897-4345
220 S Van Buren St
Enid, OK 73703-5812
Phone (580) 234-9355
320 Federal St
Lynchburg, VA 24504-2306
Phone (434) 947-5967
4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 660-9924
416 N Main St
Altus, OK 73521-3108
Phone (580) 379-0325
582 Blue Ridge Ave
Bedford, VA 24523-2604
Phone (540) 425-7910
7 School St
Albion, ME 04910-6501
Phone (207) 437-9388
925 Village Hwy
Rustburg, VA 24588-4591
Phone (434) 528-0005
Hospital & facility affiliations
- Maine General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.91 of 100
- Quality
- 5.54
- Improvement activities
- 40
- Cost
- 66.19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in ME, TX, VA, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210311002951 | ME | Practitioner - Nurse Practitioner | 8729494950 | Reassigns benefits to 2 organizations |
| I20240530001990 | TX | Practitioner - Nurse Practitioner | 8729494950 | Reassigns benefits to 1 organization |
| I20250815000950 | VA | Practitioner - General Practice | 8729494950 | Reassigns benefits to 1 organization |
| I20260603002985 | OK | Practitioner - Nurse Practitioner | 8729494950 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228703 | OK | MD | Family Nurse Practitioner |
| 0024182771 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Health Center | Current |
Accepting new patients | |
| Quentin N Burdick Comprehensive Health Care Facility | Current |
Accepting new patients | |
| Healthreach Community Health Centers | Current |
Accepting new patients | |
| Eastport Health Care, Inc. | Current |
Accepting new patients | |
| Johnson Health Center | Current |
Accepting new patients | |
| Healthreach Community Health Centers | Current |
Accepting new patients | |
| Eastport Health Care, Inc. | Current |
Accepting new patients | |
| Healthreach Community Health Centers | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Past | Accepting new patients | |
| Healthreach Community Health Centers | Past | Accepting new patients | |
| Healthreach Community Health Centers | Past | Accepting new patients |
Locations
7 School St
Albion, ME 04910
Phone (207) 437-9388
7 School St
#1
Albion, ME 04910
Phone (207) 437-9388
4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924
30 Boynton St
Eastport, ME 04631
Phone (207) 853-6001
16 Depot St
Livermore Falls, ME 04254
Phone (207) 897-4345
16 Depot St
Ste 300
Livermore Falls, ME 04254
Phone (207) 897-4345
160 Dublin St
Machias, ME 04654
Phone (207) 255-3400
1300 Hospital Loop
Belcourt, ND 58316
4100 W 150th St
#3
Cleveland, OH 44135
109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400
134 Elon Rd
Madison Hts, VA 24572
Phone (434) 929-1400
925 Village Hwy
Rustburg, VA 24588
Phone (434) 332-7367
Interoperability endpoints
- kelly.leslie.1@14940.direct.athenahealth.com
- https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182771 | VA | |
| Family Nurse Practitioner | 363LF0000X | 228703 | OK | Yes |
Addresses
Primary practice location
1327 Oklahoma Ave
Woodward, OK 73801-4454
Mailing address
1327 Oklahoma Ave
Woodward, OK 73801-4454
Phone (580) 254-2377
Other practice location 1
16 Depot St
Livermore Falls, ME 04254-1311
Phone (207) 897-4345
Other practice location 2
925 Village Hwy
Rustburg, VA 24588-4591
Phone (434) 929-1400
NPI Registry JSON
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1447896147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 OKLAHOMA AVE",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738014454",
"telephone_number": "580-254-2377",
"fax_number": "580-254-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 OKLAHOMA AVE",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738014454",
"telephone_number": "580-254-2377",
"fax_number": "580-254-2388"
}
],
"practiceLocations": [
{
"address_1": "16 Depot St",
"address_purpose": "LOCATION",
"city": "Livermore Falls",
"state": "ME",
"postal_code": "042541311",
"country_code": "US",
"telephone_number": "207-897-4345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 Village Hwy",
"address_purpose": "LOCATION",
"city": "Rustburg",
"state": "VA",
"postal_code": "245884591",
"country_code": "US",
"telephone_number": "434-929-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESLIE",
"first_name": "KELLY",
"credential": "APRN-FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-18",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024182771",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "228703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodward, OK
- Courtney Lawellin
- Amanda Diane Lawson
- Lynsay Leatherbury
- Alyssa Lee Marie Lee
- Laurie Jean Lehr
- Lifeworks Therapy Solutions Inc
- Bryan Little
- Denise Lively
- Ronald Daniel Livingston
- Shawna Marissa Logan
All providers in Woodward, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.