Individual provider Active NPI

Leslie Brooke Robinson, CFNP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1912219072
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
864367 Issued in MS
Practice address
4541 N State St
Jackson, MS 39206-5308
Phone
(601) 533-7017
Fax
(769) 333-9151
NPI assigned
Jul 6, 2010
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 864367 MS Primary

Addresses

Primary practice location

4541 N State St
Jackson, MS 39206-5308

Mailing address

PO Box 746085
Atlanta, GA 30374-6085
Phone (773) 352-1515

Other practice location 1

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 751-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000524 MS Practitioner - Nurse Practitioner 2961690441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KDH Primary CareGroup PAC ID 9234317207, 7 clinicians

Practice addresses (Care Compare)

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 157-8158

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Center - Yazoo, Inc CurrentSince Feb 1, 2016 Accepting new patients
Oak Street Health Physicians Group of Mississippi, LLC Family CurrentSince Jul 2, 2023 Accepting new patients
Baptist Medical Center - Yazoo, Inc Current Accepting new patients

Locations

4541 N State St
Jackson, MS 39206
Phone (601) 533-7017

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Interoperability endpoints

  • Direct secure messaging: lrobinson172628@direct.bmhcc.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1912219072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746085",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746085",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065308",
            "telephone_number": "601-533-7017",
            "fax_number": "769-333-9151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-751-8289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LESLIE",
        "middle_name": "BROOKE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "864367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.