LEANNA MARIE DUERST (AA) – Anesthesiologist Assistant, NPI 1104131796

LEANNA MARIE DUERST (AA) is a healthcare provider. based in La crosse, Wisconsin. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. 1 (WI). The NPI Number for LEANNA MARIE DUERST (AA) is 1104131796

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LEANNA MARIE DUERST (AA)
NPI
1104131796
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
9 August 2010
Last Update Date
5 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087827300
Graduation Year
2010 (16 years ago)
PAC ID
1557559275
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20101222000593
Address ID
WI546015467LA1910XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

271 ANESTHESIOLOGY ASSISTANT in WI

Provider Addresses for LEANNA MARIE DUERST (AA)

  • 1836 SOUTH AVE

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    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)

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: 2010-12-22

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
I20101222000593IAnesthesiology AssistantWITBD

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 54601)

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Provider's Procedures

LEANNA MARIE DUERST (AA) performs procedures in ANESTHESIOLOGY ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGY ASSISTANTWI00142Anesthesia for lens surgery3131

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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

How do payers reference LEANNA MARIE DUERST (AA)?
For LEANNA MARIE DUERST (AA), use NPI 1104131796 as the unique 10-digit identifier.
Is LEANNA MARIE DUERST (AA) still an active registrant?
LEANNA MARIE DUERST (AA) carries an active NPI according to the public dataset.
What clinical focus is listed for LEANNA MARIE DUERST (AA)?
At a glance, LEANNA MARIE DUERST (AA) is tied to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with LEANNA MARIE DUERST (AA)?
Directory geography for LEANNA MARIE DUERST (AA) centers on La Crosse, Wisconsin.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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