Individual provider Active NPI

Leslie A Ary, ACNP

  • Acute Care Nurse Practitioner
  • Union City, TN
National Provider Identifier
1558697540
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN14487 Issued in TN
Practice address
1720 E Reelfoot Ave Ste 200
Union City, TN 38261-6049
Phone
(013) 500-9789
Fax
(901) 350-0677
NPI assigned
Oct 26, 2009
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN14487 TN Primary

Addresses

Primary practice location

1720 E Reelfoot Ave Ste 200
Union City, TN 38261-6049

Mailing address

1720 E Reelfoot Ave Ste 200
Union City, TN 38261-6049
Phone (013) 500-9789

Other identifiers 5

IdentifierTypeStateIssuer
830341OtherWELLCARE
6018872OtherTNBCBS
1517153MedicaidTN
P00805097OtherRAILROAD MEDICARE
9625665OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100226000335 TN Practitioner - Nurse Practitioner 3072658285 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bane Medical Management LLCGroup PAC ID 0840655494, 4 clinicians

Practice addresses (Care Compare)

415 S Lindell St
Martin, TN 38237-2442
Phone (731) 281-4292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.37 of 100Reported as group
Quality
73.28
Promoting interoperability
95
Improvement activities
40
Cost
79.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN14487TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluff City Pain, PLLC CurrentSince Oct 21, 2025 Accepting new patients
Southern Pain and Regenerative Medicine PC CurrentSince Jan 15, 2024 Accepting new patients
Bane Medical Management LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

415 S Lindell St
Martin, TN 38237
Phone (731) 255-5138

5683 S Rex Rd
Memphis, TN 38119
Phone (901) 350-0678

1720 E Reelfoot Ave
Ste 200
Union City, TN 38261
Phone (731) 507-0272

Interoperability endpoints

  • Direct secure messaging: leslie.ary.1@32899.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1558697540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE STE 200",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616049",
            "telephone_number": "013-500-9789",
            "fax_number": "901-350-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE STE 200",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616049",
            "telephone_number": "013-500-9789",
            "fax_number": "901-350-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARY",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN14487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "830341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6018872",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517153",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00805097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9625665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

Verify at the official NPI Registry.