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Active NPI 1427262062 Individual Practitioner Female Practitioner

Susanne Leissle , LPN

Licensed Practical Nurse • Wallkill, NY

Professional Overview & Biography Verified Profile Summary

Susanne Leissle, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Wallkill, NY. Practice services are available at 69 LAKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

69 Lake Rd

Wallkill, NY 125893311

Telephone 8458953701

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Wallkill, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Wallkill, NY (23738 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 1149471

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01959062 (NY)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 69 LAKE RD, WALLKILL, NY 125893311 (Tel: 8458953701)

📍
Updated Business Mailing Address July 08, 2007

Registered at 69 LAKE RD, WALLKILL, NY 125893311 (Tel: 8458953701)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSANNE LEISSLE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #1149471 in NY)

🟢
Initial NPI Registration & Enumeration May 10, 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: 1427262062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

69 Lake Rd

Wallkill, NY 125893311

Phone: 8458953701

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.