KELLI LYNN LESAGE-BANK PNP
NPI 1578808994
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since December 11, 2012PECOS EnrolledAccepts Medicare Assignment
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-2263(602) 933-4256 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Lynn Lesage-bank Pnp NPPES

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

KELLI LYNN LESAGE-BANK PNP (NPI 1578808994) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP4687) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1578808994
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLI LYNN LESAGE-BANKCredential: PNP
Location Address1919 E THOMAS RDPhoenix, AZ 85016
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813
Fax(602) 933-4256
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 11, 2012
Last NPPES UpdateSeptember 4, 2018
NPI 1578808994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in AZ · AP4687
1919 E THOMAS RD, Phoenix, AZ 85016

Accepted 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

Kelli Lynn Lesage-bank Pnp 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 ID3173764693
PECOS Enrollment IDI20260316003571
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 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016

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 Kelli Lesage-bank's NPI number?

The NPI number for Kelli Lesage-bank is 1578808994. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Kelli Lesage-bank located?

Kelli Lesage-bank practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-2263.

What is Kelli Lesage-bank's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelli Lesage-bank enrolled in Medicare?

Yes. Kelli Lesage-bank 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.

What insurance does Kelli Lesage-bank accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Kelli Lesage-bank as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelli Lesage-bank was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.