Leanne Lott Tew, CRNP
Individual provider Active NPI Nurse Practitioner · Butler, AL
NPI 1609947142 · NPPES record last updated Feb 17, 2014
Key facts
- NPI
- 1609947142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1075117 (AL)
- Practice address
- 1404 E Pushmataha St
Butler, AL 36904-2728 - Phone
- (205) 459-4488
- Fax
- (205) 459-3010
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kemper Cah, Inc.
Rush Hospital/Butler, Inc
Practice addresses (Care Compare)
1221 N Washington St
Livingston, AL 35470-5410
Phone (205) 652-9575
401 Vanity Fair Ave
Butler, AL 36904-3032
Phone (205) 459-9100
Hospital & facility affiliations
- Centerwell Home Health
- Amedisys Home Health of Selma
- Ochsner Choctaw General
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.18 of 100
- Quality
- 90.78
- Improvement activities
- 40
- Cost
- 53.55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080602000543 | AL | Practitioner - Nurse Practitioner | 5395815427 | Reassigns benefits to 3 organizations |
| I20250723001117 | MS | Practitioner - Nurse Practitioner | 5395815427 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Hospital/Butler, Inc | Current |
Accepting new patients | |
| Kemper Cah, Inc. | Past | Accepting new patients | |
| Rush Medical Foundation | Past | Accepting new patients | |
| Rush Hospital/Butler, Inc | Past | Accepting new patients | |
| Physicians Care of Clarke | Past |
Accepting new patients |
Locations
401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1075117 | AL | Yes |
Addresses
Primary practice location
1404 E Pushmataha St
Butler, AL 36904-2728
Mailing address
PO Box 908
Meridian, MS 39302-0908
Phone (601) 703-4282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891001830 | Medicaid | AL |
Other names
- Elaine Leanne Lott
Other providers in Butler, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.