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

Charles J Leistner III, APRN

Individual provider Family Nurse Practitioner · NPI 1669002978

Charles J Leistner III, APRN is a Nurse Practitioner in Lawrence, Kansas. Graduated from Illinois Medical College in 2019, 7 years ago. Practices with Topeka Physician Group LLC, a 149-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
7
Trained at
Illinois Medical College
Licensed in
KS
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

776 E 1485 Rd
Lawrence, KS 66046-9265
Phone: (785) 917-1866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-79245-121 (KS)

Record details

NPI number1669002978
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 26, 2020
Last updated in NPPESJanuary 26, 2020
Certification dateJanuary 26, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolILLINOIS MEDICAL COLLEGE
Graduated 2019 (7 years in practice)
Group practice Topeka Physician Group Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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