Active NPI
Leeann Ansica Nelson, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Dallas, TX
National Provider Identifier
1699187005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- R6058
- Practice address
- 8585 N Stemmons Fwy Ste 200S
Dallas, TX 75247-3821 - Phone
- (214) 424-5600
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MMD.36842MD | SC | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | R6058 | TX | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | ME136488 | FL |
Addresses
Primary practice location
8585 N Stemmons Fwy Ste 200S
Dallas, TX 75247-3821
Mailing address
8585 N Stemmons Fwy Ste 200S
Dallas, TX 75247-3821
Phone (214) 424-5600
Other practice location 1
129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-1788
Other practice location 2
14100 Fivay Rd Ste 340
Hudson, FL 34667-7181
Phone (727) 861-0237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917001935 | TX | Order and Referring Only - Hospice/Palliative Care | 4880813831 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MMD.36842MD | SC | MD | Internal Medicine Physician |
| R6058 | TX | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitas Healthcare of Texas, L. P. | Past | Accepting new patients |
Interoperability endpoints
- leeann.nelson@hca4.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1154369791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1699187005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8585 N STEMMONS FWY STE 200S",
"city": "DALLAS",
"state": "TX",
"postal_code": "752473821",
"telephone_number": "214-424-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8585 N STEMMONS FWY STE 200S",
"city": "DALLAS",
"state": "TX",
"postal_code": "752473821",
"telephone_number": "214-424-5600"
}
],
"practiceLocations": [
{
"address_1": "129 N Washington St",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291504949",
"country_code": "US",
"telephone_number": "803-774-1788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14100 Fivay Rd Ste 340",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "FL",
"postal_code": "346677181",
"country_code": "US",
"telephone_number": "727-861-0237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "LEEANN",
"middle_name": "ANSICA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "MMD.36842MD",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TX",
"license": "R6058",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME136488",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.