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LESLIE KATHRYN PAMUNGKAS DNP, APRN, FNP-BC
NPI 1952145658
Nurse Practitioner - Family in Van Buren, AR

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
606 CO OP DR, VAN BUREN, AR 72956(479) 474-4249 Get Directions Write a Review

NPPES record last updated: October 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, Jun 19, 2024 (2 updates tracked since 2024).

About Leslie Kathryn Pamungkas Dnp, Aprn, Fnp-bc NPPES

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

LESLIE KATHRYN PAMUNGKAS DNP, APRN, FNP-BC (NPI 1952145658) is an individual family provider in Van Buren, Arkansas, licensed in Arkansas (233191) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952145658
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLESLIE KATHRYN PAMUNGKASCredential: DNP, APRN, FNP-BC
Location Address606 CO OP DRVan Buren, AR 72956-6083
Mailing Address606 Co Op DrVan Buren, AR 72956-6083 · (479) 474-4249
Phone(479) 474-4249
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2024
Last NPPES UpdateOctober 26, 20252 updates tracked since enumeration
NPPES CertifiedOctober 26, 2025
✔ NPI 1952145658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 233191
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License R069469 (AR)
606 CO OP DR, Van Buren, AR 72956
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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 and accepts Medicare assignment

Leslie Kathryn Pamungkas Dnp, Aprn, Fnp-bc 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 ID4385120088
PECOS Enrollment IDI20260113000917
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 72956 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Pamungkas's NPI number?

The NPI number for Leslie Pamungkas is 1952145658. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Leslie Pamungkas located?

Leslie Pamungkas practices at 606 Co Op Dr, Van Buren, AR 72956. The listed phone number is (479) 474-4249.

What is Leslie Pamungkas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leslie Pamungkas enrolled in Medicare?

Yes. Leslie Pamungkas 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.

When was this NPI record last updated?

The NPPES record for Leslie Pamungkas was last updated on October 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.