Active NPI
Leslie Kay Alzuhn-Hansen, MD
- Obstetrics & Gynecology Physician
- Columbus, WI
On this page
- Key facts
- Organizations & group practices5
- Owned or controlled facilities with NPI records4
- Medicare participation
- All facility ownership & control disclosures2
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Other names1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Columbus, WI
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 44574
- Practice address
- 1515 Park Ave
Columbus, WI 53925-1618 - Phone
- (920) 623-2200
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Sun Prairie, WI
- NPI 1699534545
-
- Orthopaedic Surgery Physician
- Beaver Dam, WI
- NPI 1093137416
-
- Orthopaedic Surgery Physician
- Columbus, WI
- NPI 1912329335
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Medicare Defined Swing Bed Hospital Unit
- Columbus, WI
- NPI 1750467098
Corporate Director
-
- Orthopaedic Surgery Physician
- Columbus, WI
- NPI 1912329335
Corporate Director
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
All facility ownership & control disclosures 2
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Prairie Ridge Health Inc | Hospital | Corporate Director | Jan 1, 2024 |
| Prairie Ridge Health Inc | Hospital | Corporate Director | Jan 1, 2024 |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090812000417 | WI | Practitioner - Obstetrics/Gynecology | 0547314486 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44574 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients |
Locations
1515 Park Ave
#2
Columbus, WI 53925
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
Interoperability endpoints
- lalzuhnhansen297856@direct-ehr-ssmhc.com
- https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/
- leslie.alzuhnhansen@direct.dcmedical.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 44574 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1515 Park Ave
Columbus, WI 53925-1618
Mailing address
1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34219900 | Medicaid | WI |
Other names 1
NPPES NPI Registry- Leslie Kay Alzuhn
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LALZUHNHANSEN297856@DIRECT-EHR-SSMHC.COM | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2023.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1508871096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251618",
"telephone_number": "920-623-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539251618",
"telephone_number": "920-623-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZUHN-HANSEN",
"first_name": "LESLIE",
"middle_name": "KAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2023-11-27",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "44574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34219900",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LALZUHNHANSEN297856@DIRECT-EHR-SSMHC.COM",
"affiliation": "Y",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "LALZUHNHANSEN297856@DIRECT-EHR-SSMHC.COM",
"address_1": "1515 Park Ave",
"city": "Columbus",
"state": "WI",
"country_code": "US",
"postal_code": "539251618",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "ALZUHN",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.