Active NPI
Tina Le, APRN
- Family Nurse Practitioner
- Derby, KS
National Provider Identifier
1376278473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-80622-051
- Practice address
- 1624 N Rock Rd
Derby, KS 67037-3718 - Phone
- (316) 554-2126
- NPI assigned
- Jul 21, 2022
- Last updated
- Sep 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-80622-051 | KS | Primary |
Addresses
Primary practice location
1624 N Rock Rd
Derby, KS 67037-3718
Mailing address
1624 N Rock Rd
Derby, KS 67037-3718
Phone (316) 554-2126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1624 N Rock Rd
Derby, KS 67037-3718
Phone (316) 554-2126
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.29 of 100
- Quality
- 71.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80622-051 | KS | MD | Family Nurse Practitioner |
Interoperability endpoints
- tina.le@krogerhealth.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Wichita, KS
- NPI 1821483132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1376278473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 N ROCK RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373718",
"telephone_number": "316-554-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 N ROCK RD",
"city": "DERBY",
"state": "KS",
"postal_code": "670373718",
"telephone_number": "316-554-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "TINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-80622-051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.