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Active NPI 1093859654 Individual Practitioner Female Practitioner

Dr. Leslie Jean Mortland , MD

Pediatrics • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Leslie Mortland, MD is a registered healthcare professional specializing in Pediatrics in Saint Cloud, MN. Practice services are available at 1900 CENTRACARE CIR # 1300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 Centracare Cir # 1300
Centracare Clinic Health Plaza Pediatric And Adolescent

Saint Cloud, MN 563035000

Telephone 3206543610
Fax 3206543647

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
26 Specialists

Practicing in Saint Cloud, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 53414

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL TRN9066

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ 49019

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Hematology-Oncology

NUCC Taxonomy Code: 2080P0207X

State License WI 55982

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Practice Associates & Co-Workers

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

21 Associated Practitioners
Dr. Eyas Abla , MD

Allergy & Immunology

NPI 1134407430

Doctor of Medicine (M.D.)

NPI 1144899931

Doctor of Medicine (M.D.)

Maryellen Smith , CPNP

Nurse Practitioner - Pediatrics

NPI 1225004377

Certified Pediatric Nurse Practitioner

Amber Peterson , MS

Genetic Counselor, MS

NPI 1225341282

Master of Science

Allison Doerfler , RD LD

Dietitian, Registered

NPI 1255708368

RDLD

Abby Boelter , LPN, IBCLC

Lactation Consultant, Non-RN

NPI 1265854632

Licensed Practical Nurse, International Board Certified Lactation Consultant

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2023

Pediatrics (License #TRN9066 in FL)

NPI Profile Active December 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2016

Registered at 1900 CENTRACARE CIR # 1300, CENTRACARE CLINIC HEALTH PLAZA PEDIATRIC AND ADOLESCENT, SAINT CLOUD, MN 563035000 (Tel: 3206543610)

📍
Updated Business Mailing Address December 16, 2016

Registered at 1900 CENTRACARE CIR # 1300, CENTRACARE CLINIC HEALTH PLAZA PEDIATRIC AND ADOLESCENT, SAINT CLOUD, MN 563035000 (Tel: 3206543610)

👤
Provider Name / Credentials Updated December 16, 2016

Recorded as LESLIE MORTLAND, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2016

Pediatrics (License #53414 in MN)

🟢
Initial NPI Registration & Enumeration February 16, 2007

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: 1093859654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: March 28, 2023
Sole Proprietor: No

Mailing Address

1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent

Saint Cloud, MN 563035000

Phone: 3206543610

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.