Individual provider Active NPI

Leslie Lee Rose, PA-C

  • Physician Assistant
  • Grand Blanc, MI
National Provider Identifier
1790155273
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007493 Issued in MI
Practice address
2462 E Hill Rd Ste 1
Grand Blanc, MI 48439-5427
Phone
(810) 695-1234
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007493 MI Primary

Addresses

Primary practice location

2462 E Hill Rd Ste 1
Grand Blanc, MI 48439-5427

Mailing address

3495 S Center Rd
Burton, MI 48519-1455

Other practice location 1

1515 W Atherton Rd
Flint, MI 48507-5300
Phone (810) 234-1102

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
I20151021000642 MI Practitioner - Physician Assistant 3971812611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

10785 S Saginaw St
Suite D
Grand Blanc, MI 48439-7003
Phone (810) 695-6337

1096 S Belsay Rd
Burton, MI 48509-1948

1515 W Atherton Rd
Flint, MI 48507-5300
Phone (810) 762-1020

2462 E Hill Rd
Grand Blanc, MI 48439-5427

7057 N Clio Rd
Suite 2
Mount Morris, MI 48458-8261
Phone (810) 670-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007493MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys CurrentSince Jan 1, 2019 Accepting new patients
Ascension Borgess Hospital Physician Assistant CurrentSince Oct 12, 2015 Accepting new patients
Ascension Borgess Hospital CurrentSince Oct 12, 2015 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Jan 1, 2019 Accepting new patients
Ascension Medical Group Promed Past Accepting new patients

Locations

1515 W Atherton Rd
Flint, MI 48507
Phone (810) 232-5189

3441 Lapeer Rd
Flint, MI 48503
Phone (810) 742-2060

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

2462 E Hill Rd
Ste 1
Grand Blanc, MI 48439
Phone (810) 695-1234

1521 Gull Rd
Ste 174A
Kalamazoo, MI 49048

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

Interoperability endpoints

  • Direct secure messaging: leslierose@pmi.allscriptsdirect.net
  • Direct secure messaging: lrose1149549@direct.hfhs.org

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.

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1790155273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 E HILL RD STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395427",
            "telephone_number": "810-695-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 W Atherton Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485075300",
            "country_code": "US",
            "telephone_number": "810-234-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LESLIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.