Individual provider Active NPI

Leslie Diana Johnson, FNP

  • Family Nurse Practitioner
  • Follansbee, WV
National Provider Identifier
1114414737
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.251754 Issued in OH
Practice address
138 Rockdale Rd
Follansbee, WV 26037-1658
Phone
(304) 527-1747
NPI assigned
Apr 19, 2018
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 RN.251754 OH Primary

Addresses

Primary practice location

138 Rockdale Rd
Follansbee, WV 26037-1658

Mailing address

651 Colliers Way Ste 300
Weirton, WV 26062-5058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190816001521 WV Practitioner - Nurse Practitioner 8729315593 Reassigns benefits to 1 organization
I20211130001748 OH Practitioner - Nurse Practitioner 8729315593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

30 Medical Park
Suite 223
Wheeling, WV 26003-6391
Phone (304) 243-7928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.251754OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Dec 7, 2022 Accepting new patients
Wheeling Hospital Inc CurrentSince Nov 27, 2023 Accepting new patients
Wheeling Hospital Inc CurrentSince Nov 27, 2023 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD CurrentSince Dec 7, 2022 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

90 N 4th St
Martins Ferry, OH 43935
Phone (304) 234-8425

90 N 4th St
Fl 2
Martins Ferry, OH 43935
Phone (740) 633-4127

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

30 Medical Park
Ste 223
Wheeling, WV 26003
Phone (304) 243-7879

Organizations & group practices 4

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

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1114414737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ROCKDALE RD",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371658",
            "telephone_number": "304-527-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LESLIE",
        "middle_name": "DIANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.251754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Follansbee, WV

Sources for this page

Verify at the official NPI Registry.