Individual provider Active NPI

Leslie F Anslem, N.P.

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1629328919
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP121923 Issued in TX
Practice address
3080 College St.
Beaumont, TX 77701-4606
Phone
(409) 212-5000
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP121923 TX Primary

Addresses

Primary practice location

3080 College St.
Beaumont, TX 77701-4606

Mailing address

9301 S. Western Ave.
Oklahoma City, OK 73139-2767
Phone (866) 321-8433

Other practice location 1

1105 N Main St
Vidor, TX 77662-3738
Phone (409) 422-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120928000247 TX Practitioner - Nurse Practitioner 8820247224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

1105 N Main St
Vidor, TX 77662-3738
Phone (409) 422-4801

114 S LHS Dr
Lumberton, TX 77657-8600
Phone (409) 227-0053

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (726) 207-3656

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
737816TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Aug 19, 2012 Accepting new patients
TMC Provider Group PLLC CurrentSince Jun 7, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Jun 7, 2023 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1629328919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 S. WESTERN AVE.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392767",
            "telephone_number": "866-321-8433",
            "fax_number": "405-419-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST.",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 N Main St",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776623738",
            "country_code": "US",
            "telephone_number": "409-422-4801",
            "fax_number": "409-422-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSLEM",
        "first_name": "LESLIE",
        "middle_name": "F",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP121923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.