Active NPI
Leslie Hogan, CRNP
- Nurse Practitioner
- Madison, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-113681
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 193257 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheatland Memorial Healthcare | Current | Accepting new patients | |
| Tennessee Valley Pain Consultants, PC | Current | Accepting new patients | |
| Emergency Coverage, LLC | Nurse Practitioner | Current | Accepting new patients |
| Benefis Community Hospitals, Inc. | Current | Accepting new patients | |
| Townsend Health Systems Inc, | Current | Accepting new patients | |
| Benefis Community Hospitals, Inc. | Current | Accepting new patients | |
| Townsend Health Systems, Inc. | Current | Accepting new patients | |
| Stillwater Hospital Association, Inc. | Current | Accepting new patients | |
| T M Carr MD PC | Nurse Practitioner | Current | Accepting new patients |
| Wheatland Memorial Healthcare | Current | Accepting new patients | |
| Stillwater Hospital Association, Inc. | Current | 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
- 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.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Nurse Practitioner
-
- Pain Medicine (Anesthesiology) Physician
- Huntsville, AL
- NPI 1730548264
-
dba Benefis Teton Medical Center
- Critical Access Hospital
- Choteau, MT
- NPI 1083602205
-
dba Stillwater Billings Clinic
- Critical Access Hospital
- Columbus, MT
- NPI 1053488387
-
dba Broadwater Health Center
- Critical Access Hospital
- Townsend, MT
- NPI 1447245857
-
dba Vista Plains Health
- Rural Health Clinic/Center
- Harlowton, MT
- NPI 1235204538
-
dba Benefis Medical Clinic
- Critical Access Hospital
- Fort Benton, MT
- NPI 1164102794
-
dba Stillwater Billings Clinic
- Rural Health Clinic/Center
- Columbus, MT
- NPI 1730434309
-
dba Broadwater Wellness Clinic
- Family Medicine Physician
- Townsend, MT
- NPI 1205175700
-
dba Vista Plains Health
- Critical Access Hospital
- Harlowton, MT
- NPI 1073687406
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lincoln Medical Center
- Rural Acute Care Hospital
- Fayetteville, TN
- NPI 1255066460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.