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

Active since October 30, 2025PECOS Enrolled
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: October 18, 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 is enrolled in Medicare PECOS, 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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brooklyn Leisge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
Interventional Pain Medicine
5129 DIXIE HWY
Louisville, KY 40216
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 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.

Which organizations bill Medicare for Brooklyn Leisge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooklyn Leisge reassigns Medicare benefits to 2 organizations: Florida Hospital Physician Group Inc (Tampa, FL) and University Of Louisville Phyisicians, Inc. (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooklyn Leisge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooklyn Leisge accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Oscar Health Maintenance Organization of Florida list Brooklyn Leisge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brooklyn Leisge was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.