DR. LIESEL E.A. LEEDY (M.D.) – Anesthesiology Physician, NPI 1043286883

DR. LIESEL E.A. LEEDY (M.D.) is a healthcare provider. based in Nacogdoches, Texas. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. J4308 (TX). The NPI Number for DR. LIESEL E.A. LEEDY (M.D.) is 1043286883

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. LIESEL E.A. LEEDY (M.D.)
NPI
1043286883
Phone
(936) 564-4611
Address
1204 N Mound St
Enumeration Date
23 February 2006
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9034164000
Graduation Year
1992 (34 years ago)
PAC ID
0749236487
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20050805000738
Address ID
TX750204584DE5016X75XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

Provider Addresses for DR. LIESEL E.A. LEEDY (M.D.)

  • 1204 N Mound St

    Nacogdoches, TX 759614027

    Phone: (936) 564-4611

    Type: Location

  • PO BOX 840853

    DALLAS, TX 752845151

    Phone: (972) 233-1999

    Fax: (072) 233-3666

    Type: Mailing

  • Box Lane, Nacogdoches County, Texas, 75937, United States

    NACOGDOCHES, TX 759635151

    Phone: (936) 462-7844

    Fax: (936) 462-7855

    Type: Mailing

  • Nacogdoches Memorial Hospital, 1204, North Mound Street, Nacogdoches, Nacogdoches County, Texas, 75961, United States

    NACOGDOCHES, TX 759614027

    Phone: (936) 564-4611

    Type: Location

  • 6606 LBJ FWY STE 200

    DALLAS, TX 752406524

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    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: 2018-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050805000738IAnesthesiologyTXTBD
I20170816002341IAnesthesiologyFLTBD
I20180525000070IAnesthesiologyVATBD

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
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1515$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1313$0
View full utilization report →

Insurance plans in this area (ZIP 75961)

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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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How do I look up DR. LIESEL E.A. LEEDY (M.D.) by NPI?
Use NPI 1043286883 when you need to reference DR. LIESEL E.A. LEEDY (M.D.) in forms, claims, or directories.
Is DR. LIESEL E.A. LEEDY (M.D.)'s NPI currently valid?
The extract we use shows DR. LIESEL E.A. LEEDY (M.D.) as active.
What does DR. LIESEL E.A. LEEDY (M.D.) treat or focus on?
Patients typically see DR. LIESEL E.A. LEEDY (M.D.) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. LIESEL E.A. LEEDY (M.D.) practice in Texas?
You will see Nacogdoches, Texas on file for DR. LIESEL E.A. LEEDY (M.D.) alongside any extra practice locations.
What if Nacogdoches, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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