AUDREY LESLIE – Medical Physician Assistant, NPI 1972885705

AUDREY LESLIE is a healthcare provider. based in Dyer, Indiana. specializing in PHYSICIAN ASSISTANT. They hold a License No. NULL (IL). The NPI Number for AUDREY LESLIE is 1972885705

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY LESLIE
NPI
1972885705
Phone
(219) 865-9160
Address
1001 MAIN ST
Enumeration Date
19 September 2011
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8447558267
Graduation Year
2011 (15 years ago)
PAC ID
0042467276
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20120823000297
Address ID
IL604622023OR14290RDXX500
Telehealth
Yes

Contacts

Secure Messaging
aleslie126232@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for AUDREY LESLIE

  • 1001 MAIN ST

    SUITE 2E

    DYER, IN 463111235

    Phone: (219) 865-9160

    Fax: (219) 865-9251

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1014 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20120823000297IPhysician AssistantIL2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
69210Removal of impacted ear wax10485$0
99213Established patient office or other outpatient visit, 20-29 minutes8161$0
92504Exam of ear using a microscope6953$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing2121$0
View full utilization report →

Insurance plans in this area (ZIP 46311)

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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: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Does AUDREY LESLIE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AUDREY LESLIE uses 1972885705.
Is AUDREY LESLIE listed as active for patients and plans?
The listing shows AUDREY LESLIE as active in the NPI system.
What is AUDREY LESLIE's specialty?
The listing groups AUDREY LESLIE with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does AUDREY LESLIE list a practice location?
Patients near Dyer, Indiana may find AUDREY LESLIE in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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