Mrs Leslie Anne Brouillette, NP in Santa Rosa, CA

Mrs Leslie Anne Brouillette, NP is a medicare enrolled "Nurse Practitioner - Family" in Santa Rosa, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 131 Stony Cir Ste 1600, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 541-7700.

Mrs Leslie Anne Brouillette is licensed to practice in California (license number NP95001265) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962652479.

Contact Information

	Mrs Leslie Anne Brouillette, NP
	131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520
	(707) 541-7700
	(707) 573-5415

Map and Direction

Provider's Profile

Full Name	Mrs Leslie Anne Brouillette
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	131 Stony Cir Ste 1600, Santa Rosa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Leslie Anne Brouillette graduated from nursing school in 2014

NPI Data:

NPI Number: 1962652479
Provider Enumeration Date: 09/22/2008
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3678894987
Enrollment ID: I20150611000705

Medical Identifiers

Medical identifiers for Mrs Leslie Anne Brouillette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962652479	NPI	-	NPPES
NP95001265	Other	CA	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0400X	Registered Nurse - Case Management	529152 (California)	Secondary
163WC1500X	Registered Nurse - Community Health	529152 (California)	Secondary
163WL0100X	Registered Nurse - Lactation Consultant	529152 (California)	Secondary
163WM0102X	Registered Nurse - Maternal Newborn	529152 (California)	Secondary
163WP0200X	Registered Nurse - Pediatrics	529152 (California)	Secondary
163WP1700X	Registered Nurse - Perinatal	529152 (California)	Secondary
163WX0002X	Registered Nurse - Obstetric, High-risk	529152 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	NP95001265 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
California Pacific Medical Ctr-davies Campus Hosp	San francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Leslie Anne Brouillette allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Leslie Anne Brouillette is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Leslie Anne Brouillette, NP 2350 W El Camino Real Fl 2, Mountain View, CA 94040-6203 Ph: (707) 541-7700	Mrs Leslie Anne Brouillette, NP 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 Ph: (707) 541-7700

Reviews and Comments

Nurse Practitioner Nurses in Santa Rosa, CA

Peggy Walsh Goebel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Montgomery Dr, Santa Rosa, CA 95404 Phone: 707-585-7780 Fax: 707-585-7784
Julie Barlow, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207
Suzanne Watts Dedmore, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600
Amada Ligia Gomez, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1989 Citrine Way, Santa Rosa, CA 95404 Phone: 786-385-4492
Genesis Callejas-mir, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445
Felipa Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 Phone: 707-570-1130 Fax: 707-571-2478
Cynthia R. Ingels, MSN,N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Doyle Park Dr, Suite 103, Santa Rosa, CA 95405 Phone: 707-579-1102

Mrs Leslie Anne Brouillette, NP - Medicare Nurse Practitioner in Santa Rosa, CA