BROOKLYN LEISGE CRNA
NPI 1053280008
Nurse Anesthetist, Certified Registered in Port Charlotte, FL

Active since October 30, 2025
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952(941) 766-4125(941) 766-4101 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Jan 15, 2026 (2 updates tracked since 2026).

About Brooklyn Leisge Crna NPPES

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

BROOKLYN LEISGE CRNA (NPI 1053280008) is an individual nurse anesthetist, certified registered in Port Charlotte, Florida, licensed in Florida (APRN11045007) and active in the NPI registry since October 2025. She maintains 2 additional practice locations and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053280008
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameBROOKLYN LEISGECredential: CRNA
Location Address2500 HARBOR BLVDPort Charlotte, FL 33952-5000
Mailing Address10065 Bayou Grande AveSeminole, FL 33772-6002
Fax(941) 766-4101
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 30, 2025
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1053280008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in FL · APRN11045007 Licensed in KY · 4048184
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2500 HARBOR BLVD, Port Charlotte, FL 33952

Secondary Practice Locations 2

Location 1530 S Jackson StLouisville, KY 40202-1675 · Phone (502) 852-5851
Location 210065 Bayou Grande AveSeminole, FL 33772-6002 · Phone (859) 230-7508

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brooklyn Leisge Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496232993
PECOS Enrollment IDI20260127000548, I20260604004358

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Pediatrics (Neonatal-Perinatal Medicine)
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Anesthesiology
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Physical Therapist
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Pathology (Anatomic Pathology & Clinical Pathology)
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Emergency Medicine
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
General Acute Care Hospital
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Emergency Medicine (Emergency Medical Services)
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooklyn Leisge's NPI number?

The NPI number for Brooklyn Leisge is 1053280008. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Where is Brooklyn Leisge located?

Brooklyn Leisge practices at 2500 Harbor Blvd, Port Charlotte, FL 33952. The listed phone number is (941) 766-4125.

What is Brooklyn Leisge's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Brooklyn Leisge enrolled in Medicare?

Yes. Brooklyn Leisge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooklyn Leisge was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.