Individual provider Active NPI

Leslie B Hornick, ARNP

  • Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1487889374
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
84227 Issued in OK
Practice address
1701 Renaissance Blvd Ste 110
Edmond, OK 73013-3084
Phone
(405) 844-4978
Fax
(405) 844-0562
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 84227 OK Primary

Addresses

Primary practice location

1701 Renaissance Blvd Ste 110
Edmond, OK 73013-3084

Mailing address

1701 Renaissance Blvd Ste 110
Edmond, OK 73013-3084
Phone (405) 844-4978

Other identifiers 1

IdentifierTypeStateIssuer
200246990AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20120719000279 OK Practitioner - Nurse Practitioner 5597921510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.12 of 100Reported as group
Quality
64.14
Promoting interoperability
75
Improvement activities
40
Cost
70.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Arthritis Center, P.C. CurrentSince Apr 1, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1701 Renaissance Blvd
Ste 110
Edmond, OK 73013
Phone (405) 844-4978

1705 Renaissance Blvd
Edmond, OK 73013
Phone (405) 329-8262

9322 E 41st St
Tulsa, OK 74145
Phone (918) 628-2500

6135 S 90th East Ave
Tulsa, OK 74133
Phone (539) 367-1145

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1487889374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RENAISSANCE BLVD STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133084",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RENAISSANCE BLVD STE 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133084",
            "telephone_number": "405-844-4978",
            "fax_number": "405-844-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNICK",
        "first_name": "LESLIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "84227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200246990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.