Individual provider Active NPI

Leon Francis Deisering, CRNA

  • Certified Registered Nurse Anesthetist
  • Nogales, AZ
National Provider Identifier
1548210990
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN129422 Issued in AZ
Practice address
1209 W Target Range Road
Suite 102
Nogales, AZ 85621
Phone
(520) 287-4020
Fax
(520) 287-2348
NPI assigned
May 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN129422 AZ Primary

Addresses

Primary practice location

1209 W Target Range Road
Suite 102
Nogales, AZ 85621

Mailing address

PO Box 819
Nogales, AZ 85628-0819
Phone (520) 287-4020

Other identifiers 1

IdentifierTypeStateIssuer
912825MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN129422AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
Hendrick Anesthesia Network Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548210990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856280819",
            "telephone_number": "520-287-4020",
            "fax_number": "520-287-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W TARGET RANGE ROAD",
            "address_2": "SUITE 102",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "85621",
            "telephone_number": "520-287-4020",
            "fax_number": "520-287-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEISERING",
        "first_name": "LEON",
        "middle_name": "FRANCIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN129422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912825",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.