Leslie E DO Pico, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Edwards, CO
NPI 1699886366 · NPPES record last updated Nov 29, 2018
Key facts
- NPI
- 1699886366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APN.0993819-CRNA (CO)
- Practice address
- 320 Beard Creek Road
Suite 100
Edwards, CO 81632-6426 - Phone
- (970) 569-7400
- Fax
- (817) 877-0350
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Partners of Colorado
Practice addresses (Care Compare)
181 W Meadow Dr
Vail, CO 81657-5078
Phone (970) 476-2451
Hospital & facility affiliations
- Vail Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041018000742 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012977671 | Reassigns benefits to 3 organizations |
| I20181231001070 | CO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012977671 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0993819-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Career Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Associates of Pinellas County | Past | Accepting new patients | |
| Clearwater Pain Management Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9170464 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APN.0993819-CRNA | CO | Yes |
Addresses
Primary practice location
320 Beard Creek Road
Suite 100
Edwards, CO 81632-6426
Mailing address
PO Box 913001
Denver, CO 80291-3001
Phone (817) 334-0530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306848000 | Medicaid | FL |
Other providers in Edwards, CO
- Delvecchio Physical Therapy
- Dennis Lipton, MD, PLLC
- Michelle H Deutsch
- Bryan Diekmann
- Carly Dierolf
- Gerald Richard Dooher
- Dr. Thomas J. Palic DC PC
- Meghan Elizabeth Drager
- Taylor Dreher Lee
- Joseph Drew
All providers in Edwards, CO · Certified Registered Nurse Anesthetist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.