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

Leslie Anunciacion, PA-C

Individual provider Physician Assistant · NPI 1124576590

Leslie Anunciacion, PA-C is a Physician Assistant in Prior Lake, Minnesota. Qualified in 2016, 10 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4670 Park Nicollet Ave SE
Prior Lake, MN 55372-4119
Phone: (952) 993-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 — (763) 520-5200
  • 205 Wabasha St S, Saint Paul, MN 55107-1805 — (952) 967-5584

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12208 (MN)

Record details

NPI number1124576590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2016
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Prior Lake