LESLIE M ANTONELLI MSN, RN - NPI 1013193457 - Nurse Practitioner in Greenwood, IN

Q: What is Leslie Antonelli's NPI number?

The NPI number for Leslie Antonelli is 1013193457. It was assigned to this individual provider in the NPPES registry on January 16, 2008. The provider is also known as Leslie M Peters Msn, Rn.

Q: What is Leslie Antonelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Antonelli was last updated on May 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Leslie M Antonelli Msn, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE M ANTONELLI MSN, RN (NPI 1013193457) is an individual pediatrics provider in Greenwood, Indiana, licensed in Indiana (71002959A) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013193457

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLESLIE M ANTONELLICredential: MSN, RN

Location Address1703 W STONES CROSSING RD STE 330Greenwood, IN 46143-8558

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(317) 887-6060

Fax(317) 859-5944

Sole ProprietorNo

Enumeration DateJanuary 16, 2008

Last NPPES UpdateMay 19, 20258 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1013193457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71002959A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28154154A (IN)

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 71002959A (IN)

1703 W STONES CROSSING RD STE 330, Greenwood, IN 46143

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Other Names 1

Former Name (1)Leslie M Peters Msn, Rn

Secondary Practice Locations 2

Location 18111 Township Line RdIndianapolis, IN 46260-2479 · Phone (317) 415-7921

Location 22705 N Lebanon St Ste 415Lebanon, IN 46052-8628 · Phone (765) 485-8900 · Fax (765) 485-8909

Other Identifiers 1

Medicaid200953450IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie M Antonelli Msn, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERIDIAN HEALTH SERVICES CORP.

Clinic/Center (Federally Qualified Health Center (FQHC))