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GRISELLE VILLAR LEDESMA
NPI 1255710240
Physician Assistant - Medical in Corona, NY

Active since May 22, 2015PECOS Enrolled
10427 CORONA AVE, CORONA, NY 11368(718) 592-3458 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Griselle Villar Ledesma NPPES

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

GRISELLE VILLAR LEDESMA (NPI 1255710240) is an individual medical provider in Corona, New York, licensed in New York (018582-1) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255710240
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGRISELLE VILLAR LEDESMA
Location Address10427 CORONA AVECorona, NY 11368-2979
Mailing Address104-27 Corona AveCorona, NY 11368 · (718) 592-3458
Phone(718) 592-3458
Sole ProprietorYes
Enumeration DateMay 22, 2015
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1255710240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 018582-1
10427 CORONA AVE, Corona, NY 11368
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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)

Griselle Villar Ledesma 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers26 claims62 services$6.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers79 claims80 services$196.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions

What is Griselle Villar Ledesma's NPI number?

The NPI number assigned to this healthcare provider is 1255710240, enumerated as an "individual" on May 22, 2015.

Where is the provider located?

The provider is located at 10427 CORONA AVE CORONA, NY 11368 and the phone number is (718) 592-3458.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.