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LESLIE A CLARK APRN
NPI 1700482163
Nurse Practitioner in Port Orange, FL

Active since December 09, 2020PECOS Enrolled
1730 DUNLAWTON AVE STE 1, PORT ORANGE, FL 32127(386) 320-3299 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 3, 2022, Dec 10, 2020 (2 updates tracked since 2020).

About Leslie A Clark Aprn NPPES

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

LESLIE A CLARK APRN (NPI 1700482163) is an individual nurse practitioner in Port Orange, Florida, licensed in Florida (APRN11009779) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Smyrna Beach.

NPPES Registry Identity

NPI1700482163
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLESLIE A CLARKCredential: APRN
Location Address1730 DUNLAWTON AVE STE 1Port Orange, FL 32127-8986
Mailing Address1730 Dunlawton Ave Ste 1Port Orange, FL 32127-8986 · (386) 320-3299
Phone(386) 320-3299
Sole ProprietorNo
Enumeration DateDecember 9, 2020
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1700482163 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 FL · APRN11009779
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.
1730 DUNLAWTON AVE STE 1, Port Orange, FL 32127
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Secondary Practice Location 1

Location 1161 N Causeway Ste CNew Smyrna Beach, FL 32169-5300 · Phone (386) 424-8440

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie A Clark Aprn 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 32127 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

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

JAY W BUTWINICK APRN
Nurse Practitioner (Family)
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127
Volusia County (386) 320-3299
ELIZABETH ANN GIONEST ARNP
Nurse Practitioner (Family)
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127
Volusia County (386) 320-3299
DR. HASSAN ALKHATIB M.D
Internal Medicine
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127
Volusia County (386) 320-3299

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 Leslie Clark's NPI number?

The NPI number for Leslie Clark is 1700482163. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Leslie Clark located?

Leslie Clark practices at 1730 Dunlawton Ave Ste 1, Port Orange, FL 32127. The listed phone number is (386) 320-3299.

What is Leslie Clark's specialty?

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

Is Leslie Clark enrolled in Medicare?

Yes. Leslie Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leslie Clark was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.