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

Lucy Ledesma, NP

Individual provider Adult Health Nurse Practitioner · NPI 1114395803

Lucy Ledesma, NP is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

310 Lafayette Ave SE Ste 410
Grand Rapids, MI 49503-4693
Phone: (616) 685-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704232926 (MI)

Record details

NPI number1114395803
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 11, 2015
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address1900 44th St Se, Grand Rapids, MI 49508-5008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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