Leisa Dettloff
NPI 1972156818 · Family Nurse Practitioner · Troy, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Leisa Dettloff is a Family Nurse Practitioner provider in Troy, MI (NPI 1972156818).
Provider details
- NPI number
- 1972156818
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704292580 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-19
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Frequently asked questions
- What is Leisa Dettloff's NPI number?
- Leisa Dettloff's National Provider Identifier (NPI) is 1972156818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leisa Dettloff's specialty?
- Leisa Dettloff is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Leisa Dettloff located?
- Leisa Dettloff's practice location on file with NPPES is 44201 Dequindre Rd, Troy, MI 48085-1117.
- What is Leisa Dettloff's phone number?
- The practice phone number listed in the NPPES registry for Leisa Dettloff is (248) 964-5000.
- Does Leisa Dettloff accept Medicare?
- Leisa Dettloff is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Leisa Dettloff's NPI active?
- Yes — Leisa Dettloff's NPI (1972156818) is active in the NPPES registry as of the last update on 2022-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.