Active NPI
Leesa Marie Belus, AGACNP-BC
- Acute Care Nurse Practitioner
- Sheridan, WY
National Provider Identifier
1477061836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 15089-1709
- Practice address
- 1842 Sugarland Dr Ste 103
Sheridan, WY 82801-5719 - Phone
- (307) 673-4960
- Fax
- (307) 673-4951
- NPI assigned
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 15089-1709 | WY | Primary |
Addresses
Primary practice location
1842 Sugarland Dr Ste 103
Sheridan, WY 82801-5719
Mailing address
PO Box 327
Buffalo, WY 82834-0327
Phone (307) 620-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180523000935 | WY | Practitioner - Nurse Practitioner | 5092070045 | Reassigns benefits to 1 organization |
| I20190218000576 | MT | Practitioner - Nurse Practitioner | 5092070045 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15089-1709 | WY | MD | Acute Care Nurse Practitioner |
| 15089 | WY | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Horn Hospital Association | Current | Accepting new patients | |
| Big Horn Hospital Association | Current | Accepting new patients | |
| Buffalo Urgent Care Inc | Current | Accepting new patients |
Locations
17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310
496 Fort St
Buffalo, WY 82834
Phone (307) 278-0280
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Hardin, MT
- NPI 1457441651
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Buffalo Urgent Care Inc
Practice addresses (Care Compare)
496 Fort St
Buffalo, WY 82834-1806
Phone (307) 278-0280
Hospital & facility affiliations
- Billings Clinic Hospital
- Johnson County Healthcare Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1477061836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828340327",
"telephone_number": "307-620-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 SUGARLAND DR STE 103",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015719",
"telephone_number": "307-673-4960",
"fax_number": "307-673-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELUS",
"first_name": "LEESA",
"middle_name": "MARIE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WY",
"license": "15089-1709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.