Individual provider Active NPI

Leslie Stocking-Johnson, APRN

  • Acute Care Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1790730950
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1627 Issued in CT
Practice address
101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568
Phone
(888) 964-6681
Fax
(888) 662-0859
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1627 CT Primary

Addresses

Primary practice location

101 Centerpoint Dr Ste 215
Middletown, CT 06457-7568

Mailing address

214 Foote Rd
South Glastonbury, CT 06073-3310
Phone (860) 384-2693

Other names 1

  • Leslie Stocking Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050627000918 CT Practitioner - Nurse Practitioner 6507801842 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

Hospital & facility affiliations

  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001627CTMDOptometric Technician
1627CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health P.C. Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
Healthdrive Medical Services Southeast LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jun 21, 2023 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
Medoptions Behavioral Health Assoc, LLC Nurse Practitioner Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1790730950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 FOOTE RD",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060733310",
            "telephone_number": "860-384-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CENTERPOINT DR STE 215",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577568",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKING-JOHNSON",
        "first_name": "LESLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "STOCKING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.