Individual provider Active NPI

Charles Boris Lesniak, APRN.,RN, MSN, FNP

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1861163628
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
183583 Issued in AK
Practice address
4441 Diplomacy Dr
Anchorage, AK 99508-5910
Phone
(907) 729-8880
NPI assigned
Sep 22, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 183583 AK Primary

Addresses

Primary practice location

4441 Diplomacy Dr
Anchorage, AK 99508-5910

Mailing address

4441 Diplomacy Dr
Anchorage, AK 99508-5910
Phone (907) 729-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211105000874 TX Practitioner - Nurse Practitioner 5193114536 Reassigns benefits to 1 organization
I20240306001112 AK Practitioner - Nurse Practitioner 5193114536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Transtreme, LLC Family CurrentSince Jan 25, 2024 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Oct 1, 2021 Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

360 Boniface Pkwy
Unit A11
Anchorage, AK 99504
Phone (907) 290-4666

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4441 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-2000

7501 Fannin St
Ste 705
Houston, TX 77054
Phone (713) 589-5283

Interoperability endpoints

  • Direct secure messaging: charles.lesniak.1@15729.direct.athenahealth.com
  • Direct secure messaging: charles.lesniak.1@16446.direct.athenahealth.com
  • Direct secure messaging: charles.lesniak.1@26729.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1861163628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085910",
            "telephone_number": "907-729-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085910",
            "telephone_number": "907-729-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNIAK",
        "first_name": "CHARLES",
        "middle_name": "BORIS",
        "credential": "APRN.,RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "183583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.