LESLIE ANUNCIACION PA-C
NPI 1124576590
Physician Assistant in Prior Lake, MN

Q: What is Leslie Anunciacion's NPI number?

The NPI number for Leslie Anunciacion is 1124576590. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Q: What is Leslie Anunciacion's specialty?

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

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment

4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372(952) 993-4999 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Sep 14, 2016 (2 updates tracked since 2016).

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About Leslie Anunciacion Pa-c NPPES

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

LESLIE ANUNCIACION PA-C (NPI 1124576590) is an individual physician assistant in Prior Lake, Minnesota, licensed in Minnesota (12208) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124576590

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLESLIE ANUNCIACIONCredential: PA-C

Location Address4670 PARK NICOLLET AVE SEPrior Lake, MN 55372-4119

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-4999

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 14, 2016

Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1124576590 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 MN · 12208

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.

4670 PARK NICOLLET AVE SE, Prior Lake, MN 55372

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Secondary Practice Locations 2

Location 13300 Oakdale Ave NRobbinsdale, MN 55422-2926 · Phone (763) 520-5200

Location 2205 Wabasha St SSaint Paul, MN 55107-1805 · Phone (952) 967-5584

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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 Anunciacion Pa-c 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 ID1850679176

PECOS Enrollment IDI20161020001584

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services32 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55372 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 18

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

BRIDGET NICOLE HOLBROOK PA-C

Physician Assistant