Individual provider Active NPI

Leslie M Rach, NP-C

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1629384284
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3820 Issued in AZ
Practice address
10705 W Peoria Ave
Sun City, AZ 85351-4061
Phone
(623) 259-6749
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN087460 AZ
Family Nurse Practitioner 363LF0000X AP3820 AZ Primary

Addresses

Primary practice location

10705 W Peoria Ave
Sun City, AZ 85351-4061

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (773) 352-1517

Other practice location 1

13995 W Statler Blvd Ste 200
Surprise, AZ 85374-5503
Phone (623) 478-3100

Other identifiers 1

IdentifierTypeStateIssuer
574990MedicaidAZ

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
I20110228000351 AZ Practitioner - Nurse Practitioner 5395926182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

10705 W Peoria Ave
Sun City, AZ 85351-4061
Phone (623) 259-6749

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN087460AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Life Corporation CurrentSince May 1, 2016 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Family CurrentSince Apr 15, 2024 Accepting new patients
Nova Physician Group PLLC PastSince May 7, 2024 Accepting new patients
Banner -- University Primary Care Physicians LLC Past Accepting new patients
Phoenix Heart, PLLC Family Past Accepting new patients
Phoenix Heart, PLLC Past Accepting new patients

Locations

183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945

13030 W Thunderbird Rd
El Mirage, AZ 85335
Phone (480) 956-5900

2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019

4338 W Thomas Rd
Ste 117
Phoenix, AZ 85031
Phone (602) 429-2239

10240 W Indian School Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 385-7900

10705 W Peoria Ave
Sun City, AZ 85351
Phone (623) 259-6749

3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1629384284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "773-352-1517",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 W PEORIA AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853514061",
            "telephone_number": "623-259-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13995 W Statler Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853745503",
            "country_code": "US",
            "telephone_number": "623-478-3100",
            "fax_number": "623-478-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACH",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN087460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "574990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.