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LESLIE ANNE NEVILLE
NPI 1104526391
Student in an Organized Health Care Education/Training Program in Provo, UT

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

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 student in an organized health care education/training program in Provo, Utah 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 Taxonomy390200000X
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
NPPES CertifiedMarch 6, 2023
✔ NPI 1104526391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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.

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 Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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 March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.