Active NPI
Steffanie Leslie, M.D.
- Family Medicine Physician
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 182434
- Practice address
- 1606 23Rd Ave
Fairbanks, AK 99701-6407 - Phone
- (907) 457-4567
- NPI assigned
- May 18, 2016
- Last updated
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 182434 | AK | Primary |
Addresses
Primary practice location
1606 23Rd Ave
Fairbanks, AK 99701-6407
Mailing address
645 Gradelle Ave
Fairbanks, AK 99709-3529
Phone (907) 750-1076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3185 N Leslie Rd
Silver City, NM 88061-7211
Phone (575) 534-0400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0323 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila Regional Medical Center | Current | Accepting new patients | |
| Gila Regional Medical Center | Current | Accepting new patients | |
| Gila Regional Medical Center | Current | Accepting new patients | |
| Gila Regional Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953
3185 N Leslie Rd
Silver City, NM 88061
Phone (505) 388-3393
Interoperability endpoints
- https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4
- steffanie.leslie.1@12922.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Medical Oncology Physician
- Silver City, NM
- NPI 1619053709
-
- Critical Access Hospital
- Silver City, NM
- NPI 1336220839
-
dba Gila Regional Pediatrics
- Pediatrics Physician
- Silver City, NM
- NPI 1568017143
-
- Family Medicine Physician
- Silver City, NM
- NPI 1831555366
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver City, NM
- NPI 1447376066
-
dba Ambercare Home Health
- Home Health Agency
- Las Cruces, NM
- NPI 1609039833
-
- Critical Access Hospital
- Silver City, NM
- NPI 1336220839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1598112773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 GRADELLE AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093529",
"telephone_number": "907-750-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 23RD AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997016407",
"telephone_number": "907-457-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "STEFFANIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "182434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.