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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LESLIE ANN BURDICK
NPI 1881571842
Nurse Practitioner - Psychiatric/Mental Health in Fulton, NY

Active since August 20, 2025PECOS EnrolledAccepts Medicare Assignment
14 CROSSROADS DR, FULTON, NY 13069(315) 887-1840(315) 999-1377 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, May 2, 2026 (2 updates tracked since 2026).

About Leslie Ann Burdick NPPES

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

LESLIE ANN BURDICK (NPI 1881571842) is an individual psychiatric/mental health provider in Fulton, New York, licensed in New York (738582) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2026).

NPPES Registry Identity

NPI1881571842
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLESLIE ANN BURDICK
Location Address14 CROSSROADS DRFulton, NY 13069-5009
Mailing Address14 Crossroads DrFulton, NY 13069-5009 · (315) 887-1840 · Fax (315) 999-1377
Phone(315) 887-1840
Fax(315) 999-1377
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2026
Enumeration DateAugust 20, 2025
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1881571842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 738582
14 CROSSROADS DR, Fulton, NY 13069
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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

Leslie Ann Burdick 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 ID3072072107
PECOS Enrollment IDI20260828000453
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.

Medicare Billing Reassignment

Medicare enrollment records show Leslie Burdick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liberty Resources Inc.
21 mi
Mental Health (Including Community Mental Health Center)
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
NPI 1225254881 (315) 425-1004

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13069 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 7

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

HAYDEN COOK
Student in an Organized Health Care Education/Training Program
14 CROSSROADS DR
FULTON, NY 13069
Oswego County (315) 887-1840
MATTHEW SCOTT BUDREAU MS, MHC-LP
Counselor (Mental Health)
14 CROSSROADS DR
FULTON, NY 13069
Oswego County (315) 887-1840
JOHANNA BETTY HERNANDEZ
Counselor (Mental Health)
14 CROSSROADS DR
FULTON, NY 13069
Oswego County (315) 472-4471
MRS. LAURIE FIELD KIMMEL LMFT
Marriage & Family Therapist
14 CROSSROADS DR
FULTON, NY 13069
Oswego County (315) 887-1840
LIBERTY RESOURCES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
14 CROSSROADS DR
FULTON, NY 13069
Oswego County (315) 425-1004
MARIANNA F DUDLEY
Student in an Organized Health Care Education/Training Program
14 CROSSROADS DR
FULTON, NY 13069
Oswego County (315) 887-1840
JACOB MICHAEL MILLER
Counselor (Mental Health)
14 CROSSROADS DR
FULTON, NY 13069
Oswego County (315) 887-1840

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 Burdick's NPI number?

The NPI number for Leslie Burdick is 1881571842. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Leslie Burdick located?

Leslie Burdick practices at 14 Crossroads Dr, Fulton, NY 13069. The listed phone number is (315) 887-1840.

What is Leslie Burdick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Leslie Burdick enrolled in Medicare?

Yes. Leslie Burdick 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 Burdick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Burdick reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). 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 Burdick'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 Burdick was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.