Individual provider Active NPI

Leeann Ansica Nelson, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1699187005
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
R6058 Issued in TX
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

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MMD.36842MD SC
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X R6058 TX Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917001935 TX Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 4880813831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MMD.36842MDSCMDInternal Medicine Physician
R6058TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Healthcare of Texas, L. P. PastSince Sep 8, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.