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Leslie Ann Carlson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as LESLIE CARLSON.

Based on the most recent information from CMS, provider Leslie Ann Carlson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1639130560
Provider Type
Individual
Full Name
Carlson, Leslie Ann
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/30/2006
Last Updated
4/10/2025

Contact Information

Practice Location

1006 W Main St, Bozeman, MT 59715-3219

(406) 414-4800

Unlisted Fax

Mailing Location

915 Highland Blvd, Bozeman, MT 59715-6902

(406) 414-5000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 32326 Montana
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 0985222 Minnesota

Provider Identifiers

ID	Description	Issuer
ID 307513	Description Medicaid	Issuer Unlisted Montana

Leslie Ann Carlson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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