LESLIE PULVER (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114454501

LESLIE PULVER (RN) is a healthcare provider. based in Dayton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN426373 (OH). The NPI Number for LESLIE PULVER (RN) is 1114454501

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE PULVER (RN)
NPI
1114454501
Phone
(937) 641-3401
Address
1816 Harvard Blvd Ste 202
Enumeration Date
16 May 2017
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2168316611
Graduation Year
2020 (6 years ago)
PAC ID
0143636407
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20210310003205
Address ID
OH441225694BE25101BLVD302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LESLIE PULVER (RN)

  • 1816 Harvard Blvd Ste 202

    Dayton, OH 454064559

    Phone: (937) 641-3401

    Fax: (937) 641-3046

    Type: Location

  • 3300 W Tech Blvd

    Miamisburg, OH 453424865

    Phone: (937) 641-4040

    Fax: (937) 641-3066

    Type: Location

  • 860 Valley St

    Dayton, OH 454042066

    Phone: (937) 641-3060

    Fax: (937) 641-3285

    Type: Location

  • 1 Childrens Plz

    Dayton, OH 454041815

    Phone: (937) 641-3401

    Fax: (937) 641-3046

    Type: Location

  • 452, West Market Street, Waterstreet Historic District, Xenia, Greene County, Ohio, 45385, United States

    XENIA, OH 453852815

    Phone: (937) 376-8700

    Type: Mailing

  • Cincinnati Avenue, Waterstreet Historic District, Xenia, Greene County, Ohio, 45385, United States

    XENIA, OH 453855071

    Phone: (937) 376-8700

    Type: Location

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 $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2023-03-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($63).

Total Amount

$63

General + Research + Ownership

Payments

1

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-03-10

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
I20210310003205INurse PractitionerOHTBD

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6135$0
View full utilization report →

Insurance plans in this area (ZIP 45406)

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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: 0446243760View full group profile

Reviews

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Frequently asked questions

Is there an official ID for LESLIE PULVER (RN) in U.S. healthcare records?
The official identifier for LESLIE PULVER (RN) is NPI 1114454501.
Is there an active status for LESLIE PULVER (RN)?
For scheduling context, LESLIE PULVER (RN) is shown as active in the registry.
What expertise is attributed to LESLIE PULVER (RN)?
LESLIE PULVER (RN)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LESLIE PULVER (RN)?
Travel planning: use Dayton, Ohio as the reference point for LESLIE PULVER (RN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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