Individual provider Active NPI

Leanne J Koleski, NP-C

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1619209392
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN119753 Issued in AZ
Practice address
204 N Center St
Mesa, AZ 85201-6629
Phone
(480) 962-0868
Fax
(480) 962-7010
NPI assigned
Feb 5, 2010
Last updated
Aug 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN119753 AZ Primary

Addresses

Primary practice location

204 N Center St
Mesa, AZ 85201-6629

Mailing address

204 N Center St
Mesa, AZ 85201-6629
Phone (480) 962-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20100512000978 AZ Practitioner - Nurse Practitioner 0840328852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Mesa Medical PCGroup PAC ID 1355320318, 2 clinicians

Practice addresses (Care Compare)

204 N Ctr St
Mesa, AZ 85201-6629
Phone (480) 962-0868

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siren Medical PC Nurse Practitioner CurrentSince Dec 2, 2024 Accepting new patients
Central Mesa Medical PC CurrentSince Aug 1, 2016 Accepting new patients
Leading Healthcare Clinic of Goodyear LLC CurrentSince Jan 8, 2024 Accepting new patients
Feelwell Primary Care Inc CurrentSince Jun 1, 2025 Accepting new patients
Surgical Professionals, Inc CurrentSince Jun 1, 2025 Accepting new patients
Thara Damodaran MD LLC Past Accepting new patients
Leading Healthcare, LLC Past Accepting new patients
Borik Hospitalist Group, Inc. Past Accepting new patients

Locations

936 W Chandler Blvd
Ste 3
Chandler, AZ 85225
Phone (480) 892-2456

13555 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (602) 246-9006

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

204 N Center St
Mesa, AZ 85201
Phone (480) 962-0868

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

14631 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 715-2568

2999 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (480) 618-5760

13203 N 103rd Ave
Ste I5
Sun City, AZ 85351

Interoperability endpoints

  • Direct secure messaging: leanne.koleski@3056459120644.direct.elationemr.com
  • Direct secure messaging: leanne.koleski@57560418353156.direct.elationemr.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1619209392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N CENTER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016629",
            "telephone_number": "480-962-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N CENTER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016629",
            "telephone_number": "480-962-0868",
            "fax_number": "480-962-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESKI",
        "first_name": "LEANNE",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN119753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.