Leslie Anunciacion, PA-C
NPI 1124576590ActiveIndividual· Physician Assistant· Prior Lake, MN
Physician Assistant (PA-C) with Park Nicollet Clinic and 1 other group, practicing in Prior Lake, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $103,699 for 1,087 claims, against $11,860 paid for services in 2024. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1124576590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 14, 2016 |
| Last updated in NPPES | Jan 9, 2025 |
| Certified by provider | Jan 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 12208 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 236 across 37 procedure codes |
| Paid by Medicare | $11,860 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,087 · 2,157 30-day fills |
|---|---|
| Patients | 154 |
| Total drug cost | $103,699 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
- Group Health IncBloomington, MN · 1,638 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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