DUSTYN JON LEFF
NPI 1124873740
Student in an Organized Health Care Education/Training Program in Saint Cloud, MN

Active since April 18, 2024PECOS EnrolledAccepts Medicare Assignment
1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303(320) 240-3112 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Apr 18, 2024 (2 updates tracked since 2024).

About Dustyn Jon Leff NPPES

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

DUSTYN JON LEFF (NPI 1124873740) is an individual student in an organized health care education/training program in Saint Cloud, Minnesota and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124873740
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDUSTYN JON LEFF
Location Address1555 NORTHWAY DR STE 200Saint Cloud, MN 56303-4913
Mailing Address1555 Northway Dr Ste 200Saint Cloud, MN 56303-4913 · (320) 240-3112
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 18, 2024
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1124873740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1555 NORTHWAY DR STE 200, Saint Cloud, MN 56303

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

Dustyn Jon Leff 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 ID3779021282
PECOS Enrollment IDI20251030002758
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.

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.

Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Family Medicine
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303
Student in an Organized Health Care Education/Training Program
1555 NORTHWAY DR STE 200
SAINT CLOUD, MN 56303

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 Dustyn Leff's NPI number?

The NPI number for Dustyn Leff is 1124873740. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Dustyn Leff located?

Dustyn Leff practices at 1555 Northway Dr Ste 200, Saint Cloud, MN 56303. The listed phone number is (320) 240-3112.

What is Dustyn Leff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dustyn Leff enrolled in Medicare?

Yes. Dustyn Leff 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 Dustyn Leff was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.