Leslie Carroll, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

25734 Issued in TN

Practice address

700 W Forest Ave Ste 200
Jackson, TN 38301-3940

Phone

(731) 541-9490

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, CA, VA, PA, FL, OH, TX, AL8 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 8

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

On Demand Neurology PAGroup PAC ID 5890180988, 14 clinicians

Ceresti Health IncGroup PAC ID 6709227531, 2 clinicians

On Demand Neurology of Ca PCGroup PAC ID 8224493507, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ceresti Health Inc

  • Gerontology Nurse Practitioner
  • Carlsbad, CA
  • NPI 1972359636

  CA

  Medicare reassignment Care Compare group NPD
• On Demand Neurology of Ca PC

  • Neurology Physician
  • Bakersfield, CA
  • NPI 1902553886

  CA

  Medicare reassignment Care Compare group NPD
• On Demand Neurology PA

  • Neurology Physician
  • New York, NY
  • NPI 1265016174

  AL, FL, OH, PA, TN, TX, VA

  Medicare reassignment Care Compare group NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  Nurse Practitioner, TN

  Medicare reassignment NPD
• Cloud Health Medical Group of California, P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1194404327
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1255994166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 UNION AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W FOREST AVE STE 200",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013940",
            "telephone_number": "731-541-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LESLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily E Carr, CRNA
• John B Carraher, M.D.
• Rebecca Morris Carrington, DPT
• Samuel Mark Carrington, OTR
• Carmen Timbes Carroll, CPNP
• Loren Carroll, MD
• Cynthia Wilson Carruth, M.D.
• Larry W Carruth, M.D.
• Melissa Ann Carson, FNP-C
• Carter Clinic LLC

• All providers in Jackson, TN
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.

Verify at the official NPI Registry.