Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooklyn Leisge, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1053280008

Brooklyn Leisge, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Port Charlotte, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 3 locations. Licensed in Florida and Kentucky.

Years since qualifying
1
Licensed in
FL, KY
In the registry since
2025
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone: (941) 766-4125
Fax: (941) 766-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10065 Bayou Grande Ave, Seminole, FL 33772-6002 — (859) 230-7508
  • 530 S Jackson St, Louisville, KY 40202-1675 — (502) 852-5851

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11045007 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4048184 (KY)

Record details

NPI number1053280008
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 30, 2025
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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