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Ashley Lesniewski

Nurse Practitioners (Family Nurse Practitioner)

  • Medicare participating

At a glance

Years since graduation
14
In the NPI registry since
2012
Medicare patients seen, 2024
346

The NPI date is when this clinician registered for a National Provider Identifier, the billing number used on health claims. It is not a license, graduation or board-certification date. What an NPI is

Education and training

  • 2012Registered with an NPI (national billing number; not a license date)

Medicare’s Care Compare data doesn’t list this clinician’s medical school. Undergraduate school, residency, fellowship, licensing exams and board certification aren’t in public federal data. Board certification can be confirmed with the certifying board (ABMS member boards for MDs, AOA boards for DOs).

Specialties and state licenses

  • Family Nurse Practitioner primary
    TX license 705757

As reported to the NPI registry. To confirm a license is current, check the state medical board.

Map: Nurse Practitioners per capita by county →

Where they work

Hospitals

Medical groups

Hospitals this clinician lists with Medicare, and groups they bill Medicare through (Care Compare). Affiliation doesn’t mean they see patients at every location.

Medicare patients and services

Medicare patients, 2024
346
Services billed
500
Patients’ average age
77
Most frequent Medicare services, 2023
ServiceTimesPatients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes355224
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes121119
Established patient office or other outpatient visit, 40-54 minutes6562
Established patient office or other outpatient visit, 30-39 minutes5342
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3937
New patient office or other outpatient visit, 60-74 minutes1414

Medicare fee-for-service only. CMS leaves out services billed for fewer than 11 patients. These figures describe a practice’s Medicare work; they aren’t a measure of quality.

Medicare prescriptions

Most prescribed drugs, Medicare Part D 2024
DrugPrescriptions
Duloxetine Hcl
Other prescribers in Tyler, TX
11

Prescriptions filled under Medicare Part D, including refills. CMS leaves out drugs prescribed fewer than 11 times.

Payments from drug and device companies

In 2025, 2 companies reported 2 payments worth $233 in total to this clinician.

By type
Food and Beverage$233

From CMS Open Payments. A payment is not evidence of wrongdoing; many are for consulting, teaching or meals. Clinicians can review and dispute their records with CMS.

Who received the most in Texas →

Other Nurse Practitioners clinicians in Tyler

Sources

NPI registry (CMS NPPES, November 2026; record last updated October 13, 2014), Medicare Care Compare, Medicare Physician & Other Practitioners (2024), Medicare Part D Prescribers (2024) and Open Payments (2025). Information is self-reported or billed data and may be out of date; call before visiting.

NPI 1902158751. Official NPI registry record (opens in a new tab). Clinicians can correct their information in NPPES; changes appear here after our next monthly update.