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

Leslie Jo Buzzard

Individual provider Wound Care Registered Nurse · NPI 1881386563

Leslie Jo Buzzard is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-6070
Fax: (260) 373-6704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71014049A (IN)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 28230306A (IN)

Record details

NPI number1881386563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Fort Wayne