LESLEY ANNE SPLIVALO
NPI 1174772941
Nurse Practitioner in Martinez, CA

Q: What is Lesley Splivalo's NPI number?

The NPI number for Lesley Splivalo is 1174772941. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Q: What is Lesley Splivalo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lesley Splivalo was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 16, 2008PECOS Enrolled

2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 370-5110(925) 370-5142 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lesley Anne Splivalo NPPES

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

LESLEY ANNE SPLIVALO (NPI 1174772941) is an individual nurse practitioner in Martinez, California, licensed in California (18202) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174772941

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLESLEY ANNE SPLIVALO

Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156

Mailing Address50 Douglas Dr, Suite 391Martinez, CA 94553-4098 · (925) 957-5409 · Fax (925) 957-5401

Phone(925) 370-5110

Fax(925) 370-5142

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 16, 2008

✔ NPI 1174772941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 18202

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2500 ALHAMBRA AVE, Martinez, CA 94553

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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 (PECOS)

Lesley Anne Splivalo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416328802

PECOS Enrollment IDI20260223000738

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 94553 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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.

JOHN S HAWKINS

Family Medicine