Individual provider Active NPI

Leslie Moro, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1043723281
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22861 Issued in TN
Practice address
3905 Hixson Pike Ste 103
Chattanooga, TN 37415-3569
Phone
(423) 756-1506
Fax
(423) 756-1909
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22861 TN Primary

Addresses

Primary practice location

3905 Hixson Pike Ste 103
Chattanooga, TN 37415-3569

Mailing address

3905 Hixson Pike Ste 103
Chattanooga, TN 37415-3569
Phone (423) 756-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018000806 TN Practitioner - Nurse Practitioner 0840542924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3905 Hixson Pike
Suite 103
Chattanooga, TN 37415-3569
Phone (423) 756-1506

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22861TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Jul 8, 2019 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jul 8, 2019 Accepting new patients

Locations

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

3905 Hixson Pike
Ste 103
Chattanooga, TN 37415
Phone (423) 756-1506

6800 Harrison Park Dr
Harrison, TN 37341
Phone (423) 344-7095

1238 Taft Hwy
Ste 170
Signal Mountain, TN 37377
Phone (423) 886-2004

Interoperability endpoints

  • Direct secure messaging: lesliemoro@tnmhpf.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1043723281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HIXSON PIKE STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153569",
            "telephone_number": "423-756-1506",
            "fax_number": "423-756-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 HIXSON PIKE STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153569",
            "telephone_number": "423-756-1506",
            "fax_number": "423-756-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORO",
        "first_name": "LESLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.