Individual provider Active NPI

Delores Z. Lesseig, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Kirksville, MO
National Provider Identifier
1568416741
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN 044415 Issued in MO
Practice address
1 Crown Dr
Suite 104
Kirksville, MO 63501-2510
Phone
(660) 665-7500
Fax
(660) 665-7546
NPI assigned
May 20, 2006
Sex
Female
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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN 044415 MO Primary

Addresses

Primary practice location

1 Crown Dr
Suite 104
Kirksville, MO 63501-2510

Mailing address

1 Crown Dr
Suite 104
Kirksville, MO 63501-2510
Phone (660) 665-7500

Other identifiers 2

IdentifierTypeStateIssuer
264204OtherCOMMERCIAL
108439OtherMOBLUE CROSS/BLUE SHIELD

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN 044415MOMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568416741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CROWN DR",
            "address_2": "SUITE 104",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012510",
            "telephone_number": "660-665-7500",
            "fax_number": "660-665-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CROWN DR",
            "address_2": "SUITE 104",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012510",
            "telephone_number": "660-665-7500",
            "fax_number": "660-665-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSEIG",
        "first_name": "DELORES",
        "middle_name": "Z.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "RN 044415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "264204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "108439",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

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.