Individual provider Active NPI

Leesa K Jost, FNP

  • Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1821630666
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.019660 Issued in IL
Practice address
8914 N Prairie Pointe Rd
Peoria, IL 61615-1574
Phone
(877) 726-6494
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.019660 IL Primary

Addresses

Primary practice location

8914 N Prairie Pointe Rd
Peoria, IL 61615-1574

Mailing address

204 Bayview Dr
East Peoria, IL 61611-9669
Phone (920) 246-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019660ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Hospice LLC PastSince Oct 20, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leesa.jost.p1@direct.thmg.nextgenshare.com

Organizations & group practices 1

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1821630666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BAYVIEW DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616119669",
            "telephone_number": "920-246-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151574",
            "telephone_number": "877-726-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOST",
        "first_name": "LEESA",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.019660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.