Individual provider Active NPI

Kelly Leslie, APRN-FNP-C

  • Family Nurse Practitioner
  • Woodward, OK
National Provider Identifier
1447896147
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228703 Issued in OK
Practice address
1327 Oklahoma Ave
Woodward, OK 73801-4454
Phone
(580) 254-2377
Fax
(580) 254-2388
NPI assigned
Nov 18, 2019
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 0024182771 VA
Family Nurse Practitioner 363LF0000X 228703 OK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX, VA, OK4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Health CenterGroup PAC ID 9537060413, 39 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
42.91 of 100Reported as group
Quality
5.54
Improvement activities
40
Cost
66.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228703OKMDFamily Nurse Practitioner
0024182771VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastport Health Care, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Healthreach Community Health Centers CurrentSince Dec 2, 2024 Accepting new patients
Eastport Health Care, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Johnson Health Center CurrentSince May 17, 2025 Accepting new patients
Healthreach Community Health Centers CurrentSince Feb 1, 2025 Accepting new patients
Healthreach Community Health Centers CurrentSince Dec 2, 2024 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince May 9, 2024 Accepting new patients
Johnson Health Center CurrentSince May 17, 2025 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients
Healthreach Community Health Centers Past Accepting new patients

Locations

7 School St
Albion, ME 04910
Phone (207) 437-2557

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

  • FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.leslie.1@14940.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.