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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LESLIE ANNE NEVILLE
NPI 1104526391
Physician Assistant in Provo, UT

Active since March 06, 2023PECOS Enrolled
136 W 200 S APT 319, PROVO, UT 84601(209) 581-8859 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Sep 21, 2026, Mar 6, 2023 (3 updates tracked since 2023).

About Leslie Anne Neville NPPES

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

LESLIE ANNE NEVILLE (NPI 1104526391) is an individual physician assistant in Provo, Utah, licensed in Utah (14240832-1206) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104526391
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLESLIE ANNE NEVILLE
Location Address136 W 200 S APT 319Provo, UT 84601-5917
Mailing Address136 W 200 S Apt 319Provo, UT 84601-5917 · (209) 581-8859
Phone(209) 581-8859
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2023
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1104526391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14240832-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
136 W 200 S APT 319, Provo, UT 84601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leslie Anne Neville is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143798967
PECOS Enrollment IDI20260508003808
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 84601 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Leslie Neville's NPI number?

The NPI number for Leslie Neville is 1104526391. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Leslie Neville located?

Leslie Neville practices at 136 W 200 S Apt 319, Provo, UT 84601. The listed phone number is (209) 581-8859.

What is Leslie Neville's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Leslie Neville enrolled in Medicare?

Yes. Leslie Neville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leslie Neville was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.