Individual provider Active NPI

Leigh Van Devender, APRN

  • Gerontology Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1376198192
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
903427 Issued in MS
Practice address
504 Azalea Dr Ste a
Oxford, MS 38655-5397
Phone
(662) 636-4333
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 903427 MS
Gerontology Nurse Practitioner 363LG0600X 903427 MS Primary

Addresses

Primary practice location

504 Azalea Dr Ste a
Oxford, MS 38655-5397

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190926000955 MS Practitioner - Nurse Practitioner 8224368733 Reassigns benefits to 5 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
Baptist Memorial Hospital Union County, Inc.Group PAC ID 4183601305, 41 clinicians
Comprehensive Hospitalists of Ms, LLCGroup PAC ID 6709101322, 37 clinicians

Practice addresses (Care Compare)

100 Baptist Memorial Cir
Oxford, MS 38655-4476
Phone (662) 636-4333

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631

504 Azalea Dr
Suite a
Oxford, MS 38655-5397
Phone (662) 636-4444

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100

Hospital & facility affiliations

  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
58.38

Merit-based Incentive Payment System (MIPS)

Final score
82.53 of 100Reported as group
Quality
69.43
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903427MSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Aug 12, 2019 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Aug 12, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 12, 2019 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 12, 2019 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Oct 1, 2019 Accepting new patients
Baptist Memorial Hospital Union County, Inc. Past Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1300 Sunset Dr
Ste Q
Grenada, MS 38901
Phone (662) 294-9101

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

100 Baptist Memorial Cir
Ste 3
Oxford, MS 38655

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

504 Azalea Dr
Ste A
Oxford, MS 38655
Phone (662) 236-7738

100 Baptist Memorial Cir
Ste 204
Oxford, MS 38655
Phone (662) 363-4333

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: lvandevender311644@direct.bmhcc.org

Organizations & group practices 10

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 3

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1376198192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 AZALEA DR STE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555397",
            "telephone_number": "662-636-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DEVENDER",
        "first_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "903427",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "903427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.