Individual provider Active NPI

Leslie Mbah, ACNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1598505638
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1049003 Issued in DC
Practice address
110 Irving St NW
Washington, DC 20010-3017
Phone
(202) 877-7000
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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 NP1049003 DC Primary

Addresses

Primary practice location

110 Irving St NW
Washington, DC 20010-3017

Mailing address

42390 Nelsonville Ter
Brambleton, VA 20148-4981
Phone (301) 412-6142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240907000154 DC Practitioner - Nurse Practitioner 6709326507 Reassigns benefits to 4 organizations
I20250522002188 VA Practitioner - Nurse Practitioner 6709326507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Clark Alliance Services IncGroup PAC ID 8325475981, 27 clinicians
Clark Palliative Medicine GroupGroup PAC ID 6901289461, 6 clinicians

Practice addresses (Care Compare)

250 Josephs Dr
Yorktown, VA 23693-3405
Phone (757) 276-5020

2501 Parkers LN
FL 4
Alexandria, VA 22306-3209
Phone (757) 276-5020

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 276-5020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Palliative Medicine Group CurrentSince May 1, 2025 Accepting new patients
All Hearts Care LLC CurrentSince Jun 2, 2024 Accepting new patients
Clark Pulmonary Group CurrentSince May 1, 2025 Accepting new patients
Clark Alliance Services Inc CurrentSince May 1, 2025 Accepting new patients
Specialty Physicians of Northern Virginia, LLC CurrentSince Dec 29, 2025 Accepting new patients
Medstar Heart Institute LLC CurrentSince Aug 15, 2024 Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2501 Parkers Ln
#4
Alexandria, VA 22306

2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020

500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

1850 Town Center Pkwy
Ste 463
Reston, VA 20190
Phone (571) 910-7878

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107

Organizations & group practices 6

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 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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1598505638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42390 NELSONVILLE TER",
            "city": "BRAMBLETON",
            "state": "VA",
            "postal_code": "201484981",
            "telephone_number": "301-412-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH",
        "first_name": "LESLIE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1049003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.