Individual provider Active NPI

Leslie Hogan, CRNP

  • Nurse Practitioner
  • Madison, AL
National Provider Identifier
1235557885
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-113681 Issued in AL
Practice address
8375 Highway 72 W
Madison, AL 35758-9573
Phone
(256) 265-5051
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 193257 MT
Nurse Practitioner 363L00000X 1-113681 AL Primary

Addresses

Primary practice location

8375 Highway 72 W
Madison, AL 35758-9573

Mailing address

28555 Mitchell Loop
Ardmore, AL 35739-7645
Phone (256) 777-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140606001726 AL Practitioner - Nurse Practitioner 7416171764 Reassigns benefits to 1 organization
I20210317000559 TN Practitioner - Nurse Practitioner 7416171764 Reassigns benefits to 2 organizations
I20230908003190 MT Practitioner - Nurse Practitioner 7416171764 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193257MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheatland Memorial Healthcare CurrentSince Nov 1, 2023 Accepting new patients
Tennessee Valley Pain Consultants, PC CurrentSince Apr 14, 2017 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Benefis Community Hospitals, Inc. CurrentSince Oct 3, 2024 Accepting new patients
Townsend Health Systems Inc, CurrentSince Nov 16, 2023 Accepting new patients
Benefis Community Hospitals, Inc. CurrentSince Oct 3, 2024 Accepting new patients
Townsend Health Systems, Inc. Current Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Jul 25, 2023 Accepting new patients
T M Carr MD PC Nurse Practitioner CurrentSince Mar 9, 2024 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Nov 1, 2023 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Jul 25, 2023 Accepting new patients

Locations

2009 Gallatin St SW
Huntsville, AL 35801

201 Governors Dr SW
Fl 4
Huntsville, AL 35801
Phone (256) 265-7246

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

460 Lanier Rd
Ste 204
Madison, AL 35758
Phone (256) 319-9000

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

110 N Oak St
Townsend, MT 59644
Phone (406) 266-3186

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Interoperability endpoints

  • Direct secure messaging: lhogan53845@benefishs.direct-ci.com

Organizations & group practices 11

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 1

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1235557885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28555 MITCHELL LOOP",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397645",
            "telephone_number": "256-777-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589573",
            "telephone_number": "256-265-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "LESLIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "193257",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-113681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.