NPIMap

Individual provider Active NPI

Lesli E. Nall, PA-C

  • Medical Physician Assistant
  • Henderson, KY
National Provider Identifier
1750621561
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1993 Issued in KY
Practice address
1305 N Elm St Ste a
Henderson, KY 42420-2783
Phone
(270) 831-7937
Fax
(270) 831-7939
NPI assigned
Feb 15, 2013
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1993 KY
Medical Physician Assistant 363AM0700X PA1993 KY Primary

Addresses

Primary practice location

1305 N Elm St Ste a
Henderson, KY 42420-2783

Mailing address

1305 N Elm St Ste a
Henderson, KY 42420-2783
Phone (270) 831-7937

Other identifiers 1

IdentifierTypeStateIssuer
7100416580MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150515001083 KY Practitioner - Physician Assistant 0143467753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4551 Springhill Dr
Owensboro, KY 42303-4671
Phone (812) 464-9133

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Physician Assistant CurrentSince Jul 1, 2020 Accepting new patients
Deaconess Clinic Inc Physician Assistant CurrentSince Jul 1, 2020 Accepting new patients
Deaconess Specialty Physicians Inc Physician Assistant CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Specialty Physicians Inc Physician Assistant CurrentSince Sep 10, 2021 Accepting new patients
Deaconess Specialty Physicians, Inc Physician Assistant Past Accepting new patients

Locations

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1305 N Elm St
Ste A
Henderson, KY 42420
Phone (270) 831-7937

1413 N Elm St
Ste 106
Henderson, KY 42420
Phone (270) 827-0064

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

4551 Springhill Dr
Owensboro, KY 42303
Phone (270) 215-3199

Interoperability endpoints

  • Direct secure messaging: lnall203436@direct.deaconess.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1750621561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST STE A",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-831-7937",
            "fax_number": "270-831-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST STE A",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-831-7937",
            "fax_number": "270-831-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "LESLI",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1993",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100416580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.