LESLEY ERIN MOAK FNP
NPI 1134492689
Nurse Practitioner - Family in Longmont, CO

Q: What is Lesley Moak's NPI number?

The NPI number for Lesley Moak is 1134492689. It was assigned to this individual provider in the NPPES registry on February 14, 2012. The provider is also known as Lesley Moak Krzystyniak Fnp.

Q: What is Lesley Moak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lesley Moak was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 14, 2012PECOS Enrolled

2101 KEN PRATT BLVD STE 200, LONGMONT, CO 80501(303) 649-3500(303) 649-3501 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 20, 2017 (2 updates tracked since 2017).

On this page

About Lesley Erin Moak Fnp NPPES

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

LESLEY ERIN MOAK FNP (NPI 1134492689) is an individual family provider in Longmont, Colorado, licensed in Colorado (APN.0990260-NP) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134492689

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESLEY ERIN MOAKCredential: FNP

Location Address2101 KEN PRATT BLVD STE 200Longmont, CO 80501-6568

Mailing AddressPo Box 800022Kansas City, MO 64180-0022 · (800) 953-0104 · Fax (303) 765-6670

Phone(303) 649-3500

Fax(303) 649-3501

Sole ProprietorNo

Enumeration DateFebruary 14, 2012

Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1134492689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · APN.0990260-NP

Also ListedRegistered NurseTaxonomy 163W00000X · License 178308 (CO)

2101 KEN PRATT BLVD STE 200, Longmont, CO 80501

Open in Google Maps ↗

Other Names 1

Former Name (1)Lesley Moak Krzystyniak Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesley Erin Moak Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 80501 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$62.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DANIELLE TRUJILLO D.O.

Family Medicine