Individual provider Active NPI

Joleen Leszczynski, AGACNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1508538778
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
65481 Issued in NM
Practice address
2465 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone
(575) 339-1080
Fax
(575) 522-5406
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 65481 NM Primary

Addresses

Primary practice location

2465 S Telshor Blvd
Las Cruces, NM 88011-5049

Mailing address

4305 N Mesa St Ste a
El Paso, TX 79902-1124
Phone (915) 242-6396

Other practice location 1

4305 N Mesa St Ste A
El Paso, TX 79902-1124
Phone (915) 242-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211122001795 NM Practitioner - Nurse Practitioner 9739578246 Reassigns benefits to 1 organization
I20220322003159 TX Practitioner - Nurse Practitioner 9739578246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Pulmonary AssociationGroup PAC ID 1456340991, 15 clinicians

Practice addresses (Care Compare)

2465 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 339-1080

4305 N Mesa St
Suite a
El Paso, TX 79902-1124
Phone (915) 532-2477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65481NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Pulmonary Association CurrentSince Nov 29, 2021 Accepting new patients
El Paso Pulmonary Association PastSince Mar 1, 2022 Accepting new patients

Locations

2465 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 339-1080

1865 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 590-1994

4305 N Mesa St
Ste A
El Paso, TX 79902
Phone (915) 532-2477

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1508538778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N MESA ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021124",
            "telephone_number": "915-242-6396",
            "fax_number": "915-242-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115049",
            "telephone_number": "575-339-1080",
            "fax_number": "575-522-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 N Mesa St Ste A",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021124",
            "country_code": "US",
            "telephone_number": "915-242-6396",
            "fax_number": "915-242-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESZCZYNSKI",
        "first_name": "JOLEEN",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "65481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.