Individual provider Active NPI

Leslie Lynn Clason, N.P.

  • Adult Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1679912695
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704257149 Issued in MI
Practice address
401 S Ballenger Hwy
3 North
Flint, MI 48532-3638
Phone
(810) 342-2503
Fax
(810) 342-2503
NPI assigned
Jun 24, 2013
Last updated
May 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704257149 MI Primary
Registered Nurse 163W00000X 4704257149 MI

Addresses

Primary practice location

401 S Ballenger Hwy
3 North
Flint, MI 48532-3638

Mailing address

401 S Ballenger Hwy
3 North
Flint, MI 48532-3638
Phone (810) 342-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151007002529 MI Practitioner - Nurse Practitioner 3870801012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704257149MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Lapeer Region Current Accepting new patients
McLaren Lapeer Region Nurse Practitioner CurrentSince Mar 17, 2023 Accepting new patients
McLaren Flint Nurse Practitioner CurrentSince Aug 23, 2015 Accepting new patients
McLaren Flint Current Accepting new patients
McLaren Lapeer Region CurrentSince Mar 17, 2023 Accepting new patients
McLaren Flint Past Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

401 S Ballenger Hwy
#3N
Flint, MI 48532
Phone (810) 342-2503

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

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, 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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1679912695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "address_2": "3 NORTH",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-2503",
            "fax_number": "810-342-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "address_2": "3 NORTH",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-2503",
            "fax_number": "810-342-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASON",
        "first_name": "LESLIE",
        "middle_name": "LYNN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704257149",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704257149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.