Individual provider Active NPI

Leslie Ann Carlson, NP

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1639130560
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32326 Issued in MT
Practice address
1006 W Main St
Bozeman, MT 59715-3219
Phone
(406) 414-4800
NPI assigned
Mar 30, 2006
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32326 MT Primary
Registered Nurse 163W00000X 0985222 MN

Addresses

Primary practice location

1006 W Main St
Bozeman, MT 59715-3219

Mailing address

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other practice location 1

100 Beaverhead Trail
Big Sky, MT 59716-0000
Phone (406) 995-6650

Other practice location 2

206 Alaska Frontage Rd
Belgrade, MT 59714-7909
Phone (406) 414-3334

Other practice location 3

126 S. Main St
Livingston, MT 59047-2624
Phone (406) 222-1111

Other identifiers 1

IdentifierTypeStateIssuer
307513MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcarlson9004838@direct.sanfordhealth.org Direct Bozeman Health Urgent Care

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20110208000057 MT Practitioner - Nurse Practitioner 3678516416 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bozeman Health Urgent CareGroup PAC ID 3476879305, 26 clinicians
Bozeman Health Convenience Care LLCGroup PAC ID 6608137096, 15 clinicians
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

1006 W Main St
Bozeman, MT 59715-3219
Phone (406) 586-8711

1805 Oak St
Suite 3
Bozeman, MT 59715-8735
Phone (406) 414-4890

931 Highland Blvd
Suite 3350
Bozeman, MT 59715-6914
Phone (406) 414-5336

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0985222MNMDRegistered Nurse
32326MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2017 Accepting new patients
Medical Clinic of Big Sky P.C. CurrentSince Aug 1, 2021 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2017 Accepting new patients
Field of Dreams PC Current Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Sep 15, 2020 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Sep 15, 2020 Accepting new patients
Bozeman Health Urgent Care CurrentSince Jan 1, 2019 Accepting new patients
Bozeman Health Convenience Care, LLC CurrentSince Jan 1, 2018 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

206 Alaska Frontage Rd
Belgrade, MT 59714
Phone (406) 414-3334

1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800

1805 Oak St
Ste 3
Bozeman, MT 59715
Phone (406) 414-4890

7715 Shedhorn Dr
Ste 2B
Bozeman, MT 59718
Phone (406) 414-4870

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

931 Highland Blvd
Ste 3350
Bozeman, MT 59715
Phone (406) 414-5331

Interoperability endpoints

  • Direct secure messaging: lcarlson9004838@direct.sanfordhealth.org

Organizations & group practices 11

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 1

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1639130560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153219",
            "telephone_number": "406-414-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Beaverhead Trail",
            "address_purpose": "LOCATION",
            "city": "Big Sky",
            "state": "MT",
            "postal_code": "597160000",
            "country_code": "US",
            "telephone_number": "406-995-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Alaska Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597147909",
            "country_code": "US",
            "telephone_number": "406-414-3334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 S. Main St",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590472624",
            "country_code": "US",
            "telephone_number": "406-222-1111",
            "fax_number": "406-823-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "32326",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "0985222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307513",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarlson9004838@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Urgent Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1006 W Main St",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597153219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.