MS. LESLIE E CONNER (ARNP, RN, LMP, IFMCP) – Family Nurse Practitioner, NPI 1962538405
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. LESLIE E CONNER (ARNP, RN, LMP, IFMCP)
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 258-3900
Type: Mailing
3901 HOYT AVE
EVERETT, WA 982014918
Phone: (425) 258-3900
Type: Location
292 Log Cabin Ln
Dunlap, TN 373277056
Phone: (425) 905-3050
Fax: (888) 912-1824
Type: Location
292 LOG CABIN LN
DUNLAP, TN 373277056
Phone: (425) 905-3050
Type: Mailing
2261 MARKET ST # 10535
SAN FRANCISCO, CA 941141612
Phone: (408) 508-4163
Fax: (888) 789-1402
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: 2023-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110208000062 | I | Nurse Practitioner | WA | TBD |
| I20230906004347 | I | Nurse Practitioner | TN | TBD |
| I20230911002952 | I | Nurse Practitioner | CA | TBD |
| I20231025002697 | I | Nurse Practitioner | CO | TBD |
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.
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 98206)
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