Tyler Jon Lesko, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G175179 Issued in IA

Practice address

625 Court St
Sioux City, IA 51101-1919

Phone

(712) 252-3871

Fax

(712) 252-3157

NPI assigned

Jul 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siouxland Mental Health Services IncGroup PAC ID 4688575251, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Siouxland Mental Health Services, Inc.

  dba Siouxland Mental Health Center

  • Community/Behavioral Health Agency
  • Sioux City, IA
  • NPI 1952529950
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1538847181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 S SAINT MARYS ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511063423",
            "telephone_number": "712-574-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COURT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011919",
            "telephone_number": "712-252-3871",
            "fax_number": "712-252-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKO",
        "first_name": "TYLER",
        "middle_name": "JON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G175179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Lefebvre, FNP-C
• Carole Leflore
• Mika Leinonen, BA, CADC
• James Franklin Lenhart, LBSW
• Paula Kate Lepon
• Melissa Ann Levering, FNP-BC, NP-C
• Gary Lewis, LSW
• Wayne Anthony Lewis, DDS
• Tabatha Orisa Li
• Shayna Beth Lichten, DMD

• Psychiatric/Mental Health Nurse Practitioner in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.