Individual provider Active NPI

Leslie Ross, N.P.

  • Family Nurse Practitioner
  • Glen Rose, TX
National Provider Identifier
1447640669
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127305 Issued in TX
Practice address
507 SW Big Bend TRL
Glen Rose, TX 76043-4449
Phone
(254) 897-3444
Fax
(254) 897-9973
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127305 TX Primary

Addresses

Primary practice location

507 SW Big Bend TRL
Glen Rose, TX 76043-4449

Mailing address

507 SW Big Bend TRL
Glen Rose, TX 76043-4449
Phone (254) 897-3444

Other identifiers 1

IdentifierTypeStateIssuer
AP127305OtherNURSE PRACTITIONER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leslie.ross.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160404002177 TX Practitioner - Nurse Practitioner 2567769698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1009 NE Big Bend Trail
Lake Granbury Primare Care
Glen Rose, TX 76043-4450
Phone (254) 897-3310

1308 E Paluxy Rd
Granbury, TX 76048-5655

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

507 SW Big Bend TRL
Unit J
Glen Rose, TX 76043-4450
Phone (254) 897-3444

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group CurrentSince Mar 1, 2018 Accepting new patients
Hood Medical Group CurrentSince Mar 1, 2018 Accepting new patients

Locations

507 SW Big Bend Trl
Glen Rose, TX 76043
Phone (254) 897-3444

507 SW Big Bend Trl
Unit J
Glen Rose, TX 76043
Phone (254) 897-3444

3710 E US Highway 377
Ste 116
Granbury, TX 76049
Phone (817) 408-3197

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

3801 E US Highway 377
Ste 100
Granbury, TX 76049
Phone (817) 573-1380

Interoperability endpoints

  • Direct secure messaging: leslie.ross.1@1293.direct.athenahealth.com

Organizations & group practices 2

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447640669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SW BIG BEND TRL",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434449",
            "telephone_number": "254-897-3444",
            "fax_number": "254-897-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SW BIG BEND TRL",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434449",
            "telephone_number": "254-897-3444",
            "fax_number": "254-897-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LESLIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "AP127305",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leslie.ross.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "507 SW Big Bend Trl",
            "city": "Glen Rose",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760434449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Rose, TX

Sources for this page

Verify at the official NPI Registry.