Leslie Gayle Phelps, ANCC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3007920 Issued in KY

Practice address

1013 Master St
Corbin, KY 40701-1065

Phone

(606) 280-4000

Fax

(606) 280-4051

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leslie Gayle Jaynes Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaynes Family PracticeGroup PAC ID 3779992573, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lesliephelps@jaynes.medentdirect.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Jaynes Family Practice

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1184228553

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Jaynes Family Practice

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1184228553
  Medicare reassignment Care Compare group NPD Authorized official
• Apogee Medical Group Kentucky PSC

  • General Practice Physician
  • Corbin, KY
  • NPI 1356503114

  Nurse Practitioner

  Medicare reassignment NPD
• Brock Medical, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Ho Medical & Chiropractic Corporation

  • Internal Medicine Physician
  • Whitley City, KY
  • NPI 1487667770
  Medicare reassignment
• Fast Pace Kentucky PLLC

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Nicole Pursifull Family Practitioner

  • Family Nurse Practitioner
  • Middlesboro, KY
  • NPI 1235670639
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1598005654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2634",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407022634",
            "telephone_number": "606-280-4000",
            "fax_number": "606-280-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MASTER ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011065",
            "telephone_number": "606-280-4000",
            "fax_number": "606-280-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "LESLIE",
        "middle_name": "GAYLE",
        "credential": "ANCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100243140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "JAYNES",
            "middle_name": "GAYLE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Maria Perry, MSW
• Cassandra Petrey, PHARMD
• Robin M Petrey
• Selena Petrey
• Donna Peyton, BS, MHA
• Dustin B Phillips, M.S., LCADC, CAIMHP
• Kristi Eileen Phillips, BS
• Brittany Nicole Philpot, BS
• Phebia Lynn Philpot, APRN
• Shannon Philpot, TCM

• Nurse Practitioner in Corbin, KY
• Providers in Corbin, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.