Brooklyn Leisge, CRNA is a
Nurse Anesthetist, Certified Registered based in Seminole, Florida. Brooklyn Leisge is licensed to practice in Kentucky (license number 4048184) and her current practice location is
10065 Bayou Grande Ave, Seminole, Florida. She can be reached at her office (for appointments etc.) via phone at
(859) 230-7508.
NPI number for Brooklyn Leisge is 1053280008 and her current mailing address is 10065 Bayou Grande Ave, Seminole, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053280008.
Provider's Profile
| Full Name | Brooklyn Leisge |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 10065 Bayou Grande Ave, Seminole, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053280008
- Provider Enumeration Date: 10/30/2025
- Last Update Date: 01/15/2026
Medical Identifiers
Medical identifiers for Brooklyn Leisge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053280008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 4048184 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooklyn Leisge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brooklyn Leisge, CRNA 10065 Bayou Grande Ave, Seminole, FL 33772-6002 Ph: () - | Brooklyn Leisge, CRNA 10065 Bayou Grande Ave, Seminole, FL 33772-6002 Ph: (859) 230-7508 |
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