LESLIE ROMERSBERGER – Physician Assistant, NPI 1104153550

LESLIE ROMERSBERGER is a healthcare provider. based in Pontiac, Illinois. specializing in PHYSICIAN ASSISTANT. They hold a License No. 085003656 (IL). The NPI Number for LESLIE ROMERSBERGER is 1104153550

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE ROMERSBERGER
NPI
1104153550
Phone
Not provided
Address
2500 W REYNOLDS ST
Enumeration Date
5 November 2009
Last Update Date
14 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
3173662392
Group Practice PAC ID
9830082882
Professional Enrollment ID
I20190719001271
Address ID
FL339661156FO4571XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for LESLIE ROMERSBERGER

  • West Reynolds Street, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617649774

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Solventum Corporation ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Solventum Corporation$27
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190719001271IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830082882View full group profile

Reviews

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Frequently asked questions

What is the standard ID for LESLIE ROMERSBERGER in the U.S.?
In the U.S., LESLIE ROMERSBERGER is identified by NPI 1104153550.
Is LESLIE ROMERSBERGER's NPI status active today?
Active status means LESLIE ROMERSBERGER's NPI record is not deactivated in the public file.
What does the directory say LESLIE ROMERSBERGER does?
Insurance directories may phrase it differently, but here LESLIE ROMERSBERGER maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to LESLIE ROMERSBERGER?
The directory associates LESLIE ROMERSBERGER with Pontiac, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains LESLIE ROMERSBERGER's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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