MRS. LESLIE A DORK CNP
NPI 1790703361
Nurse Practitioner - Adult Health in Albuquerque, NM
About Mrs. Leslie A Dork Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LESLIE A DORK CNP (NPI 1790703361) is an individual adult health provider in Albuquerque, New Mexico, licensed in New Mexico (R33302) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Leslie A Dork Cnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Leslie Dork reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
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 Dork's NPI number?
The NPI number for Leslie Dork is 1790703361. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is Leslie Dork located?
Leslie Dork practices at 3821 Masthead St NE, Albuquerque, NM 87109. The listed phone number is (505) 998-7400.
What is Leslie Dork's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Leslie Dork enrolled in Medicare?
Yes. Leslie Dork 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.
Which organization bills Medicare for Leslie Dork's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Dork reassigns Medicare benefits to Renal Medicine Associates Ltd. (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leslie Dork's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leslie Dork was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.
# Mrs. Leslie A Dork, CNP · NPI 1790703361
Adult Health physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1790703361 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** R33302 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 3821 MASTHEAD ST NE, Albuquerque, NM 87109-4679
- **Phone:** (505) 998-7400 · **Fax:** (505) 998-7741
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renal Medicine Associates Ltd. (NPI 1356347439, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 51089262 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1790703361) · Data from the CMS NPPES public registry.