Individual provider Active NPI

Lesley Ann Ross, FNP-BC

  • Family Nurse Practitioner
  • South Charleston, WV
National Provider Identifier
1548554488
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN56155 Issued in WV
Practice address
4607 Maccorkle Ave SW
Suite 401
South Charleston, WV 25309
Phone
(304) 414-2802
Fax
(304) 414-2819
NPI assigned
Jun 8, 2011
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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 APRN56155 WV Primary

Addresses

Primary practice location

4607 Maccorkle Ave SW
Suite 401
South Charleston, WV 25309

Mailing address

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 400-4545

Other practice location 1

4607 MacCorkle Ave SW
Suite 401
South Charleston, WV 25309
Phone (304) 414-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20110919000808 WV Practitioner - Nurse Practitioner 1759552912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN56155WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Char LLC CurrentSince Sep 1, 2011 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 1, 2022 Accepting new patients
THS Physician Partners Inc Family CurrentSince Jun 1, 2023 Accepting new patients
United Physicians Care Inc Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4607 Maccorkle Ave SW
Ste 401
South Charleston, WV 25309
Phone (304) 414-2120

4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545

Interoperability endpoints

  • Direct secure messaging: lross437166@direct.wvuhsdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1548554488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-400-4545",
            "fax_number": "304-400-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW",
            "address_2": "SUITE 401",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "304-414-2802",
            "fax_number": "304-414-2819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4607 MacCorkle Ave SW",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "25309",
            "country_code": "US",
            "telephone_number": "304-414-2802",
            "fax_number": "304-414-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LESLEY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN56155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.