MRS. LESLIE ANNE BROUILLETTE NP
NPI 1962652479
Nurse Practitioner - Family in Santa Rosa, CA

Q: What is Leslie Brouillette's NPI number?

The NPI number for Leslie Brouillette is 1962652479. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Q: What is Leslie Brouillette's specialty?

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

Active since September 22, 2008PECOS EnrolledAccepts Medicare Assignment

131 STONY CIR STE 1600, SANTA ROSA, CA 95401(707) 541-7700(707) 573-5415 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Nov 12, 2018 (2 updates tracked since 2018).

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About Mrs. Leslie Anne Brouillette Np NPPES

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

MRS. LESLIE ANNE BROUILLETTE NP (NPI 1962652479) is an individual family provider in Santa Rosa, California, licensed in California (NP95001265) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962652479

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LESLIE ANNE BROUILLETTECredential: NP

Location Address131 STONY CIR STE 1600Santa Rosa, CA 95401-9520

Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (707) 541-7700 · Fax (707) 573-5415

Phone(707) 541-7700

Fax(707) 573-5415

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 22, 2008

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1962652479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95001265

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 529152 (CA)

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 529152 (CA)

Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License 529152 (CA)

Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 529152 (CA)

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 529152 (CA)

Also ListedRegistered Nurse · PerinatalTaxonomy 163WP1700X · License 529152 (CA)

Also ListedRegistered Nurse · Obstetric, High-RiskTaxonomy 163WX0002X · License 529152 (CA)

131 STONY CIR STE 1600, Santa Rosa, CA 95401

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Secondary Practice Locations 2

Location 13883 Airway Dr Ste 300Santa Rosa, CA 95403-1671 · Phone (707) 521-8841

Location 23883 Airway Dr Ste 120Santa Rosa, CA 95403-1678 · Phone (707) 521-4495 · Fax (707) 573-5421

Other Identifiers 1

OtherNP95001265CA · State Medical License

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

Mrs. Leslie Anne Brouillette Np 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 ID3678894987

PECOS Enrollment IDI20150611000705

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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

77 services55 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

66 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services37 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$16.03 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$74.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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