Individual provider Active NPI

Leslie Susan Secrist, APRN

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1740945740
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030151 Issued in OH
Practice address
7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone
(513) 232-9100
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0030151 OH Primary

Addresses

Primary practice location

7300 Beechmont Ave
Cincinnati, OH 45230-4119

Mailing address

24130 Van Wedding Rd
Sunman, IN 47041-9476
Phone (513) 289-8153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20211229001244 OH Practitioner - Nurse Practitioner 4082005020 Reassigns benefits to 2 organizations
I20230203000727 IN Practitioner - Nurse Practitioner 4082005020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1202 E Tipton St
Seymour, IN 47274-3540
Phone (812) 672-4933

1778 E State Rd
Shelbyville, IN 46176-1846
Phone (463) 235-3043

315 S Memorial Dr
New Castle, IN 47362-4904
Phone (765) 518-8100

4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030151OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accudoc Inc PC CurrentSince Oct 26, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2025 Accepting new patients
CG Medical Associates Inc CurrentSince Nov 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

20 Alpine Dr
Batesville, IN 47006
Phone (812) 932-3224

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1778 E State Road 44
Shelbyville, IN 46176
Phone (463) 235-3043

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

10541 Harrison Ave
Harrison, OH 45030
Phone (513) 367-2103

620 Ring Rd
Harrison, OH 45030
Phone (513) 202-9600

540 W Central Ave
Springboro, OH 45066
Phone (513) 746-6000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1740945740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24130 VAN WEDDING RD",
            "city": "SUNMAN",
            "state": "IN",
            "postal_code": "470419476",
            "telephone_number": "513-289-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304119",
            "telephone_number": "513-232-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECRIST",
        "first_name": "LESLIE SUSAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.