Active NPI 1073760716 Individual Practitioner Female Practitioner

Leslie M. Carmack , APN

Nurse Practitioner • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Leslie Carmack, APN is a registered healthcare professional specializing in Nurse Practitioner in Bloomington, IL. Practice services are available at 1701 E COLLEGE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 E College Ave

Bloomington, IL 617042101

Telephone 3096643800

Fax 3096643461

Associated Practice Facility / Clinic

🏢 St Joseph Medical Center Facility NPI 1851330203

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bloomington, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.2 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

45 Specialists

Practicing in Bloomington, IL (4929 Statewide)

Telehealth Adoption Rate

24.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	103	$282.00	$102.13
83036 Hemoglobin A1C level	59	52	$60.00	$9.52
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	42	37	$196.00	$27.98
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$200.00	$73.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	128	$270.12	$104.12
83036 Hemoglobin A1C level	96	80	$56.71	$9.61
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	46	34	$185.83	$28.70
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$189.51	$71.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	130	$266.00	$106.78
83036 Hemoglobin A1C level	121	89	$55.23	$9.59
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	55	37	$184.82	$29.74
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$173.35	$74.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	120	$253.51	$89.41
83036 Hemoglobin A1C level	86	68	$55.69	$9.56
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$161.17	$62.34
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	36	19	$182.22	$29.98
99443 Telephone medical discussion with physician, 21-30 minutes	13	13	$200.00	$89.49
G0008 Administration of influenza virus vaccine	12	12	$29.00	$16.17
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$26.00	$19.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	166	$241.21	$88.36
83036 Hemoglobin A1C level	154	123	$57.53	$10.39
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$153.75	$60.99
G0008 Administration of influenza virus vaccine	19	19	$28.00	$15.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$26.00	$18.65
82962 Blood glucose (sugar) test performed by hand-held instrument	11	11	$16.09	$3.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	154	$234.98	$86.90
83036 Hemoglobin A1C level	158	110	$58.00	$11.49
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$148.14	$58.35
G0008 Administration of influenza virus vaccine	14	14	$26.43	$19.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$25.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	160	$228.34	$87.05
83036 Hemoglobin A1C level	170	109	$56.38	$12.92
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$144.38	$58.91

Medical Specialties & State Licenses

CMS Verified: 2020-10-06

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-007212

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group Ptan

IL2613 (IL)

Commercial Insurance / Payer ID Individual Medicare Ptan

IL2613053 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Vijay Kumar , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1992858617

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

👤

Provider Name / Credentials Updated October 06, 2020

Recorded as LESLIE CARMACK, A.P.N.

✅

NPI Profile Active September 01, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2010

Registered at 1701 E COLLEGE AVE, BLOOMINGTON, IL 617042101 (Tel: 3096643000)

📍

Updated Business Mailing Address September 01, 2010

Registered at 1701 E COLLEGE AVE, BLOOMINGTON, IL 617042101 (Tel: 3096643000)

👤

Provider Name / Credentials Updated September 01, 2010

Recorded as LESLIE CARMACK, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2010

Nurse Practitioner (License #209-007212 in IL)

🟢

Initial NPI Registration & Enumeration August 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073760716

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 25, 2008

Last Update: October 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1701 E College Ave

Bloomington, IL 617042101

Phone: 3096643800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.