Leslie A Mack, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-75191-071 Issued in KS

Practice address

2090 S Ohio St
Suite 3W
Salina, KS 67401

Phone

(785) 309-2323

Fax

(785) 309-2331

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salina Regional Health Center Hospital, Salina, KS, CCN 170012
• Russell Regional Hospital Hospital, Russell, KS, CCN 171350
• Memorial Hospital Hospital, Abilene, KS, CCN 171381
• Lindsborg Community Hospital Hospital, Lindsborg, KS, CCN 171358
• Cloud County Health Center Hospital, Concordia, KS, CCN 171349

Merit-based Incentive Payment System (MIPS)

Final score

85.42 of 100Reported as group

Quality

79.94

Promoting interoperability

100

Improvement activities

40

Cost

71.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Salina Regional Health Center, Inc

  • Surgery Physician
  • Salina, KS
  • NPI 1619952785
  Medicare reassignment Care Compare group NPD
• Mowery Clinic LLC

  • Internal Medicine Physician
  • Salina, KS
  • NPI 1790742278
  Medicare reassignment NPD
• Salina Regional Health Center Inc

  • Pain Medicine (Anesthesiology) Physician
  • Salina, KS
  • NPI 1356203715
  NPD
• Salina Regional Health Center, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Salina, KS
  • NPI 1447790407

  Nurse Practitioner

  NPD
• Comcare, P.a

  • Family Medicine Physician
  • Salina, KS
  • NPI 1124083373
  NPD (past)

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

• Cloud County Health Center Inc

  • Critical Access Hospital
  • Concordia, KS
  • NPI 1558364760
  Care Compare affiliation
• Hospital District No. 1 of Dickinson County, Kansas

  • Critical Access Hospital
  • Abilene, KS
  • NPI 1992759633
  Care Compare affiliation
• Lindsborg Community Hospital Association

  • Critical Access Hospital
  • Lindsborg, KS
  • NPI 1881697811
  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation
• West Central Kansas Association Inc.

  • General Acute Care Hospital
  • Russell, KS
  • NPI 1417939729
  Care Compare affiliation

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1508172552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S OHIO ST",
            "address_2": "SUITE 3W",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-309-2323",
            "fax_number": "785-309-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 S OHIO ST",
            "address_2": "SUITE 3W",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-309-2323",
            "fax_number": "785-309-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 E Prescott Rd",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674017408",
            "country_code": "US",
            "telephone_number": "785-825-7251",
            "fax_number": "785-825-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-71194-071",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75191-071",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75191-071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200743910D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lundgrin Dental Association CHTD.
• Jerry Roy Lundgrin, D.D.S.
• Michael S Lundgrin, DDS
• Debra M. Lyne, APRN A-GNP NP-C
• Ericka Lysell, LMSW
• Ted L Macy, M.D.
• Ramani D. Maddali, M.D. PSYCHIATRIST
• Patricia G Madden-Beran, CRNA
• Nicole Marie Madden, LMSW
• Lois Magie, LAC

• Nurse Practitioner in Salina, KS
• Providers in Salina, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.

Verify at the official NPI Registry.