Individual provider Active NPI

Leslie Ann Stefanowicz, NP

  • Family Nurse Practitioner
  • Dartmouth, MA
National Provider Identifier
1639159783
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
233927 Issued in MA
Practice address
75 Brandt Ave
Dartmouth, MA 02747-2405
Phone
(508) 994-0120
Fax
(508) 996-9636
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 233927 MA Primary
Nurse Practitioner 363L00000X 233927 MA

Addresses

Primary practice location

75 Brandt Ave
Dartmouth, MA 02747-2405

Mailing address

75 Brandt Ave
Dartmouth, MA 02747-2405
Phone (508) 994-0120

Other identifiers 1

IdentifierTypeStateIssuer
0383350MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031107000279 MA Practitioner - Nurse Practitioner 4789597543 Reassigns benefits to 2 organizations
I20150109000023 RI Practitioner - Nurse Practitioner 4789597543

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asthma and Allergy Physicians LLCGroup PAC ID 7012950801, 8 clinicians

Practice addresses (Care Compare)

35 Pearl St
Suite 300
Brockton, MA 02301-2866
Phone (508) 584-6300

433 W Main St
Unit a
Hyannis, MA 02601-3644
Phone (508) 362-0099

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233927MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Physicians LLC CurrentSince Sep 14, 2016 Accepting new patients
Greater Boston Allergy Asthma Sinus & Immunology Centers, P.C. CurrentSince May 6, 2024 Accepting new patients
Dartmouth Medical Walk in PC III Past Accepting new patients

Locations

35 Pearl St
Ste 300
Brockton, MA 02301
Phone (508) 584-6300

75 Brandt Ave
Dartmouth, MA 02747
Phone (508) 994-0120

433 W Main St
Unit A
Hyannis, MA 02601
Phone (508) 362-0099

115 Water St
Milford, MA 01757
Phone (508) 634-8700

2000 Washington St
Ste 304
Newton Lower Falls, MA 02462
Phone (617) 243-5440

675 Paramount Dr
Ste 303
Raynham, MA 02767
Phone (508) 259-3268

35 Summer St
Taunton, MA 02780
Phone (508) 822-4100

Organizations & group practices 3

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 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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1639159783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BRANDT AVE",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472405",
            "telephone_number": "508-994-0120",
            "fax_number": "508-580-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BRANDT AVE",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472405",
            "telephone_number": "508-994-0120",
            "fax_number": "508-996-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOWICZ",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "233927",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "233927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383350",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.