Individual provider Active NPI

Leslie Hornberger, P.A.

  • Medical Physician Assistant
  • McKinney, TX
National Provider Identifier
1679870356
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2760 Virginia Pkwy Ste 200
McKinney, TX 75071-4964
Phone
(469) 587-7546
Fax
(214) 544-6737
NPI assigned
Feb 16, 2011
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X TX Primary

Addresses

Primary practice location

2760 Virginia Pkwy Ste 200
McKinney, TX 75071-4964

Mailing address

2760 Virginia Pkwy Ste 200
McKinney, TX 75071-4964
Phone (469) 587-7546

Other identifiers 1

IdentifierTypeStateIssuer
P01160311OtherTXRAILROAD MEDICARE

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
I20110606000329 TX Practitioner - Physician Assistant 9739366485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6100 Windhaven Pkwy
Plano, TX 75093-8046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer R Stalkup MD PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1679870356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 VIRGINIA PKWY STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714964",
            "telephone_number": "469-587-7546",
            "fax_number": "214-544-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 VIRGINIA PKWY STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714964",
            "telephone_number": "469-587-7546",
            "fax_number": "214-544-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBERGER",
        "first_name": "LESLIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01160311",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.