Leslie J Moore, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

111453 Issued in NE

Practice address

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Phone

(402) 294-2448

NPI assigned

May 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Leslie J Anderson Former name

Medicare fee-for-service enrollment

Enrolled in NE, IA2 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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kakish MD Senior Care PCGroup PAC ID 5496031528, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kakish MD Senior Care, PC

  • Hospitalist Physician
  • Omaha, NE
  • NPI 1881132256

  IA

  Medicare reassignment Care Compare group
• Kakish MD PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Omaha, NE
  • NPI 1861799017
  Medicare reassignment NPD
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1295170702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 CEDAR ISLAND RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231097",
            "telephone_number": "402-968-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CAPEHART RD",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "681131043",
            "telephone_number": "402-294-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10614 Cedar Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "681231097",
            "country_code": "US",
            "telephone_number": "402-968-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LESLIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "ANDERSON",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ethan Miller, MD
• Jody Decker Miller, NURSE PRACTITIONER
• Shirley Lynn Miller, MD
• Yvonne Lee Miller, LICSW, LADC
• Eren O. Moore, LCSW
• Eric H. Morton
• Jeffrey D Motz, P.A.
• Jonathan Muldermans, MD
• Tamarah G Murphy, M.A.
• Andrew Jason Myrtue, M.D.

• Family Nurse Practitioner in Offutt Afb, NE
• Providers in Offutt Afb, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.