Individual provider Active NPI

Lessley Temple, NP

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1750755328
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08447 Issued in LA
Practice address
54 SGT Prentiss Dr Ste 1057
Natchez, MS 39120-4726
Phone
(601) 490-7070
Fax
(601) 442-3199
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 AP08447 LA Primary

Addresses

Primary practice location

54 SGT Prentiss Dr Ste 1057
Natchez, MS 39120-4726

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070

Other identifiers 1

IdentifierTypeStateIssuer
2410164MedicaidLA

Other names 1

  • Lessley Petty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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
I20160217001654 LA Practitioner - Nurse Practitioner 1254632557 Reassigns benefits to 1 organization
I20160920002489 MS Practitioner - Nurse Practitioner 1254632557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

1302 44TH Ave
Gulfport, MS 39501-2552
Phone (985) 892-7070

16065 Lamonte Dr
Hammond, LA 70403-1405
Phone (985) 892-7070

1810 Ee Wallace Blvd N
2 Medcentris of Ferriday
Ferriday, LA 71334-2253
Phone (318) 232-6839

20050 Crestwood Blvd
Covington, LA 70433-5207
Phone (985) 892-7070

3600 Florida St
Baton Rouge, LA 70806-3842
Phone (985) 892-7070

4014 Carter St
Vidalia, LA 71373-3013
Phone (318) 386-3047

Hospital & facility affiliations

  • Deaconess Homecare-Region I I Home health agency, Brookhaven, MS, CCN 257135
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Jan 3, 2016 Accepting new patients

Locations

3600 Florida St
Fl 4
Baton Rouge, LA 70806

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

1810 EE Wallace Blvd N
Ste 2
Ferriday, LA 71334
Phone (318) 232-6839

6569 Highway 84
Ste M
Ferriday, LA 71334
Phone (318) 232-6839

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

1281 Lamy Ln
Ste 110
Monroe, LA 71201
Phone (318) 374-7370

200 Golf Course Dr
Ste M
Carriere, MS 39426
Phone (769) 242-3185

1302 44th Ave
Gulfport, MS 39501
Phone (228) 687-8235

54 Sgt Prentiss Dr
Ste 1057
Natchez, MS 39120
Phone (601) 490-7070

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

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.

Hospital & facility affiliations 8

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1750755328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SGT PRENTISS DR STE 1057",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204726",
            "telephone_number": "601-490-7070",
            "fax_number": "601-442-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "LESSLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410164",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESSLEY",
            "last_name": "PETTY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.