Individual provider Active NPI

Leslie Carolyn Lysaght, APRN, NP

  • Family Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1851461826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704135722 Issued in MI
Practice address
5301 E. Huron River Drive
Ypsilanti, MI 48106
Phone
(734) 712-5606
Fax
(734) 712-5797
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4704135722 MI Primary

Addresses

Primary practice location

5301 E. Huron River Drive
Ypsilanti, MI 48106

Mailing address

1710 Saxon St.
Ann Arbor, MI 48103
Phone (734) 712-5606

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
I20110922000369 MI Practitioner - Nurse Practitioner 8325219363 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Mercy Hospital Current Accepting new patients
Iha Health Services Corporation CurrentSince Feb 1, 2023 Accepting new patients
St Joseph Mercy Hospital CurrentSince Mar 16, 2024 Accepting new patients
St Joseph Mercy Hospital CurrentSince Mar 16, 2024 Accepting new patients
Iha Health Service Corporation CurrentSince Feb 1, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
St Joseph Mercy Hospital PastSince Nov 22, 2011 Accepting new patients

Locations

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5325 Elliott Dr
Ste 108
Ypsilanti, MI 48197

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851461826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SAXON ST.",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-712-5606",
            "fax_number": "734-712-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E. HURON RIVER DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48106",
            "telephone_number": "734-712-5606",
            "fax_number": "734-712-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSAGHT",
        "first_name": "LESLIE",
        "middle_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704135722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.